Suraj Amar Gupta
ActiveMichigan license EMC0004008
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- EMC0004008
- Status
- Active (Active - In Late Renewal)
- First issued
- September 26, 2023
- Expired
- September 26, 2026
- License holder
- Suraj Amar Gupta
- Entity type
- Individual
Classifications
- Expedited Compact (Health) Other Health Care
Contact
1480 Kurtis Lane
Lake Forest, IL 60045
Lake Forest, IL 60045