NEILESH VINNY GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141646

License Status

NOT RENEWED

Business

Title

First Name

NEILESH

Middle

VINNY

Last Name

GUPTA

Business Name

NEILESH VINNY GUPTA MD

Original Issue Date

09/02/2016

Effective Date

09/02/2016

Expiration Date

07/31/2017

City

BRYN MAWR

State

Zip

19010

Ever Disciplined

LastModifiedDate

11/01/2017