SUDHA GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066450

License Status

NOT RENEWED

Business

First Name

SUDHA

Last Name

GUPTA

Suffix

Business Name

SUDHA GUPTA MD

Original Issue Date

05/04/1983

Effective Date

05/04/1983

Expiration Date

07/31/1987

City

INDIANAPOLIS

State

Zip

46254

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006