BERTRAM H NANAYAKKARA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014816

License Status

EXPIRED

Business

First Name

BERTRAM H

Last Name

NANAYAKKARA

Suffix

Business Name

BERTRAM H NANAYAKKARA MD

Original Issue Date

07/16/1982

Effective Date

07/16/1982

Expiration Date

07/06/1984

City

OAK LAWN

State

Zip

60452

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006