RACHEL B GUPTA DMD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213389

License Status

NOT RENEWED

Business

First Name

RACHEL

Middle

Last Name

GUPTA DMD

Prefix

Business Name

RACHEL B GUPTA DMD

Original Issue Date

09/09/2012

Effective Date

09/09/2012

Expiration Date

03/31/2013

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2013