GAURAV GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115497

License Status

NOT RENEWED

Business

First Name

GAURAV

Last Name

GUPTA

Suffix

Business Name

GAURAV GUPTA MD

Original Issue Date

03/20/2006

Effective Date

07/30/2014

Expiration Date

07/31/2017

City

PROVIDENCE

State

Zip

02903

County

RHODE ISLAND

Ever Disciplined

LastModifiedDate

11/01/2017