RICHA GUPTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

Title

First Name

RICHA

Last Name

GUPTA

Business Name

RICHA GUPTA MD

Original Issue Date

10/21/2020

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2023