ANIL GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

ANIL

Last Name

GUPTA

Suffix

Business Name

ANIL GUPTA MD

Original Issue Date

01/10/1983

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

1995009362

Action

Suspension

Discipline Start Date

03/06/2002

Discipline End Date

10/28/2008

Discipline Reason

Habitual use of drugs and due to a criminal conviction for making false statements to federal agents.