NACHIKETA JIGYASU GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

Title

First Name

NACHIKETA

Middle

JIGYASU

Last Name

GUPTA

Business Name

NACHIKETA JIGYASU GUPTA MD

Original Issue Date

08/17/2018

Effective Date

08/17/2018

Expiration Date

09/30/2020

City

NEW YORK

State

Zip

10002

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021