SAMIR K GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

Title

First Name

SAMIR

Middle

Last Name

GUPTA

Business Name

SAMIR K GUPTA MD

Original Issue Date

02/04/1998

Effective Date

02/04/1998

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/05/2020