| | Physician Last Name: | Gupta |
| | Physician First Name: | Pratap |
| | Physician Middle Name: | |
| | Address: | 133 Mandarin Drive
Rochester, New York 14626 |
| | License Number: | 126965 |
| | License Type: | MD |
| | Year of Birth: |
1939
|
| | Effective Date: | 08/11/2004 |
| | Action Description for DOH Webpage: | The physician has permanently surrendered his New York State medical license and has withdrawn from the practice of medicine in all jurisdictions pursuant to New York State Public Health Law Section 230.(13) .This change in licensure status is not disciplinary in nature. |
| | Misconduct Description for DOH Webpage: | Not disciplinary in nature. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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