SONALI DEEPIKA NANAYAKKARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

SONALI

Middle

DEEPIKA

Last Name

NANAYAKKARA

Suffix

Business Name

SONALI DEEPIKA NANAYAKKARA MD

Original Issue Date

10/11/2007

Effective Date

04/18/2017

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61114

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021