PRAVIN 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

PRAVIN

Last Name

GUPTA

Suffix

Business Name

PRAVIN GUPTA MD

Original Issue Date

07/08/1985

Effective Date

07/08/1985

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006