GAYANA HASINI WANNIARACHCHI DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****47

License Status

ACTIVE

Business

Title

DPM

First Name

GAYANA

Middle

HASINI

Last Name

WANNIARACHCHI

Business Name

GAYANA HASINI WANNIARACHCHI DPM

Original Issue Date

07/07/2025

Effective Date

07/07/2025

Expiration Date

01/31/2027

City

DIXON

State

Zip

61021

County

LEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2025