TERRI A GUPTA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000493

License Status

NOT RENEWED

Business

First Name

TERRI A

Last Name

GUPTA

Business Name

TERRI A GUPTA

Original Issue Date

04/24/1992

Effective Date

04/24/1992

Expiration Date

03/01/1996

City

SCHAUMBURG

State

Zip

60195

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006