License Directory

Annesley T De Vasgunawardhane Md

Expired

Illinois license 33*****06

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
33*****06
Status
Expired (Not Renewed)
First issued
September 9, 1996
Expired
July 31, 1999
License holder
Annesley T De Vasgunawardhane Md
Entity type
Individual

Classifications

More from the license record

Controlled substance schedules
II III IV V
Current term began
09/09/1996

Other Illinois licenses under this name

Contact

Kankakee, IL 60901
Kankakee County