The holder whose full name is Gupta, Dipti,come from Iowa City IA,hold the Temporary MD Permit license(NO.99051515A) which status is Superceded.
Name | Gupta, Dipti |
---|---|
License Number | 99051515A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Iowa City |
State | IA |