KUSHAN D MOONESINGHE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057449

License Status

CANCELLED

Business

Title

First Name

KUSHAN

Middle

Last Name

MOONESINGHE

Business Name

KUSHAN D MOONESINGHE MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

LONG BEACH

State

Zip

90822

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/08/2010