AJAY KUMAR GUPTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158921

License Status

ACTIVE

Business

Title

First Name

AJAY

Middle

KUMAR

Last Name

GUPTA

Business Name

AJAY KUMAR GUPTA MD

Original Issue Date

12/06/2021

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

CEDARBURG

State

Zip

53012

Ever Disciplined

LastModifiedDate

07/14/2023