AMILA VIMARA NISSANKA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071582

License Status

CANCELLED

Business

Title

First Name

AMILA

Middle

VIMARA

Last Name

NISSANKA

Business Name

AMILA VIMARA NISSANKA MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

LAGUNA NIGUEL

State

Zip

92677

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/21/2020