SONALI DEEPIKA NANAYAKKARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

SONALI

Middle

DEEPIKA

Last Name

NANAYAKKARA

Suffix

Business Name

SONALI DEEPIKA NANAYAKKARA MD

Original Issue Date

05/04/2006

Effective Date

05/04/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020