ANITA GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114211

License Status

NOT RENEWED

Business

First Name

ANITA

Last Name

GUPTA

Suffix

Business Name

ANITA GUPTA MD

Original Issue Date

07/19/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SAINT LOUIS

State

Zip

63108

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/05/2016