KUMARI M JAYAWARDENA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108670

License Status

NOT RENEWED

Business

First Name

KUMARI

Middle

Last Name

JAYAWARDENA

Business Name

KUMARI M JAYAWARDENA

Original Issue Date

02/26/2003

Effective Date

02/26/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006