VIRAINE SHIVENTH A WEERASOORIYA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000377

License Status

EXPIRED

Business

First Name

VIRAINE SHIVENTH

Middle

Last Name

WEERASOORIYA

Business Name

VIRAINE SHIVENTH A WEERASOORIYA

Original Issue Date

10/06/1997

Effective Date

10/06/1997

Expiration Date

10/04/2000

City

FORT MYERS

State

Zip

33912

County

LEE

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/25/2018