NITYANAND D GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119590

License Status

NOT RENEWED

Business

First Name

NITYANAND

Middle

Last Name

GUPTA

Suffix

Business Name

NITYANAND D GUPTA MD

Original Issue Date

10/24/2007

Effective Date

06/04/2014

Expiration Date

07/31/2017

City

OWENSBORO

State

Zip

42303

County

KENTUCKY

Ever Disciplined

LastModifiedDate

11/01/2017