LIYANAGE WIMAL S FERNANDO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062359

License Status

NOT RENEWED

Business

First Name

LIYANAGE WIMAL S

Last Name

FERNANDO

Suffix

Business Name

LIYANAGE WIMAL S FERNANDO MD

Original Issue Date

06/19/1981

Effective Date

07/28/2008

Expiration Date

07/31/2011

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

11/14/2011