NILUKSHAN RANIL SIRIGAMPOLA
License Number: PA9114956
Data As Of 6/25/2024
| Profession | Physician Assistant | |
|---|---|---|
| License | PA9114956 | |
| License Status | CLEAR/Active | |
| Qualifications | Prescribing | Dispensing Practitioner |
| License Expiration Date | 1/31/2026 | |
| License Original Issue Date | 09/15/2021 | |
| Address of Record | 410 Lionel Way | |
| Suite 201 | ||
| DAVENPORT, FL 33837 | ||
| Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) | Yes | |
| Discipline on File | No | |
| Public Complaint | No |
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