AMIT KUMAR GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

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

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014