License holder summary

Anil Gupta is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Anil Gupta is 1704 North Lafayette Rd. Suite# 4, Crawfordsville IN 47933. This licensed professional license is current. The license was granted 04/02/2012 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Anil Gupta
Controlled Substance Registration - Physician
License number
01070862B
Date granted
04/02/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1704 North Lafayette Rd. Suite# 4, Crawfordsville IN 47933
indianalicensing.org
ID 5840112
LAST UPDATED 2024-03-07 21:03:21 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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