AMIT KUMAR GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130384

License Status

NOT RENEWED

Business

Title

First Name

AMIT

Middle

KUMAR

Last Name

GUPTA

Business Name

AMIT KUMAR GUPTA MD

Original Issue Date

05/15/2012

Effective Date

05/15/2012

Expiration Date

07/31/2014

City

SAINT LOUIS

State

Zip

63108

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/17/2014