SURAJ AMAR GUPTA MD - Pharmacist License in Illinois | # 049150234

SURAJ AMAR GUPTA MD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150234

License Status

NOT RENEWED

Business

N

Title

MD

First Name

SURAJ

Middle

AMAR

Last Name

GUPTA

Business Name

SURAJ AMAR GUPTA MD

Original Issue Date

08/22/2003

Effective Date

08/22/2003

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006