Shruti Gupta Md Controlled Substance Registration for Practitioner
49 Treadwell Avenue, Westport, CT 06880


Shruti Gupta Md is licensed in the eLicensing system of Connecticut. The license credential ID is 494455. The license type is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER. The license status is ACTIVE. The address is 49 Treadwell Avenue, Westport, CT 06880. The zip code is 06880.


Shruti Gupta Md · 49 Treadwell Avenue, Westport, CT 06880

Credential ID 494455
Name SHRUTI GUPTA MD
Type INDIVIDUAL
Address 49 Treadwell Avenue
Westport, CT 06880
License Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Full Credential Code CSP.0043105
Credential Type CSP
Credential Number 43105
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 03/04/2008
Effective Date 03/01/2015
Expiration Date 02/28/2017
Record Refresh Date 02/04/201

SHRUTI GUPTA MD · Connecticut Business

Shruti Gupta Md · Physician/surgeon 49 Treadwell Avenue, Westport, CT 06880

Zip 06880 · Controlled Substance Registration for Practitioner · Connecticut Business

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