BALRAM GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123553

License Status

NOT RENEWED

Business

Title

First Name

BALRAM

Last Name

GUPTA

Business Name

BALRAM GUPTA MD

Original Issue Date

05/27/2009

Effective Date

07/11/2011

Expiration Date

07/31/2014

City

MECHANICSBURG

State

Zip

17055

Ever Disciplined

LastModifiedDate

11/17/2014