License holder summary

ATUL GUPTA is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for ATUL GUPTA is COMMUNITY MEDICAL SERVICES, VILLAGE SQUARE SHOPPING MALL, LAKE VILLAGE IN 46349. This licensed professional license is not current. The license was granted 05/20/1998 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

ATUL GUPTA
Controlled Substance Registration - Physician
License number
01048054D
Date granted
05/20/1998
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
COMMUNITY MEDICAL SERVICES, VILLAGE SQUARE SHOPPING MALL, LAKE VILLAGE IN 46349
indianalicensing.org
ID 5881228
LAST UPDATED 2024-04-01 20:56:48 UTC

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