SHEELA DEIVANAYAGAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118394

License Status

NOT RENEWED

Business

First Name

SHEELA

Last Name

DEIVANAYAGAM

Suffix

Business Name

SHEELA DEIVANAYAGAM MD

Original Issue Date

05/14/2007

Effective Date

06/10/2008

Expiration Date

07/31/2011

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/14/2011