PRAVIN GUPTA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069736

License Status

INACTIVE

Business

First Name

PRAVIN

Last Name

GUPTA

Suffix

Business Name

PRAVIN GUPTA MD

Original Issue Date

10/31/1984

Effective Date

10/31/1984

Expiration Date

07/31/2002

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

11/05/2012