G PADHMINI DEVASGUNAWARDHANE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

G PADHMINI

Last Name

DEVASGUNAWARDHANE

Business Name

G PADHMINI DEVASGUNAWARDHANE

Original Issue Date

09/18/1996

Effective Date

09/18/1996

Expiration Date

07/31/1999

City

DANFORTH

State

Zip

60930

County

IROQUOIS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011