SUMIT KUMAR GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

SUMIT

Middle

KUMAR

Last Name

GUPTA

Suffix

Business Name

SUMIT KUMAR GUPTA MD

Original Issue Date

06/03/2004

Effective Date

06/03/2004

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

10/09/2006