NILUPA SEWWANDI GASPE MUDIYANSELAGE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

Title

First Name

NILUPA

Middle

SEWWANDI

Last Name

GASPE MUDIYANSELAGE

Business Name

NILUPA SEWWANDI GASPE MUDIYANSELAGE MD

Original Issue Date

06/20/2018

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

O'FALLON

State

Zip

62269

County

NEW YORK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023