PUNITA GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

PUNITA

Last Name

GUPTA

Suffix

Business Name

PUNITA GUPTA MD

Original Issue Date

12/07/2006

Effective Date

07/11/2011

Expiration Date

07/31/2014

City

SAINT PETERS

State

Zip

63376

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020