License Type:
Medical Doctor
License Number:
4301087931
Name:
Sanjaya Kumar Gupta
License Issue Date:
08/27/2007
License Expiration Date:
01/31/2014
License Status:
Lapsed
County:
Washtenaw
City:
Ann Arbor
State or Province:
Michigan
ZIP or Postal Code:
48109
CS Record Number:
5315026719
CS Status:
CS Expiration Date:
06/30/2008
5315033597