RAJAN T GUPTA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

RAJAN T

Last Name

GUPTA

Business Name

RAJAN T GUPTA

Original Issue Date

02/06/2008

Effective Date

02/06/2008

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017