SHIVANI GUPTA Veterinarian License verification

Business Entity

ACTIVE

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****28

License Status

ACTIVE

Business

First Name

SHIVANI

Last Name

GUPTA

Business Name

SHIVANI GUPTA

Original Issue Date

01/09/2019

Effective Date

01/22/2025

Expiration Date

01/31/2027

City

BROWNSTOWN

State

Zip

48174

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/22/2025