License Directory

Annesley T De Vasgunawardhane Md

Inactive

Illinois license 036054736

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036054736
Status
Inactive
First issued
June 9, 1977
Expired
July 31, 2014
License holder
Annesley T De Vasgunawardhane Md
Entity type
Individual

Classifications

More from the license record

Current term began
06/09/2011
Ever disciplined
Yes
Discipline case
1998011397
Discipline action
Fine
Discipline reason
Failed to provide a written response to the Department within sixty days of the Department's request. $1000 FINE DUE WITHIN 60 DAYS - PAID
Discipline dates
07/21/1999
Discipline action
Reprimand

Other Illinois licenses under this name

Contact

Clifton, IL 60927
Iroquois County