The holder whose full name is GUPTA, BHAVNA SHUKLA,come from PROSPECT KY,hold the Physician license(NO.01041784A) which status is Expired Non-Renewable.
| Name | GUPTA, BHAVNA SHUKLA |
|---|---|
| License Number | 01041784A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | PROSPECT |
| State | KY |