MABODAWILAGE G HEMATILLAKE MD - Medical Doctor License in California | # 036096093

MABODAWILAGE G HEMATILLAKE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096093

License Status

NOT RENEWED

Business

N

First Name

MABODAWILAGE G

Last Name

HEMATILLAKE

Suffix

MD

Business Name

MABODAWILAGE G HEMATILLAKE MD

Original Issue Date

07/17/1997

Effective Date

07/17/1997

Expiration Date

07/31/2002

State

CA

Ever Disciplined

N

LastModifiedDate

08/07/2023