HASITHA RANATUNGA IDANGODAGE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141045

License Status

ACTIVE

Business

Title

First Name

HASITHA

Middle

RANATUNGA

Last Name

IDANGODAGE

Business Name

HASITHA RANATUNGA IDANGODAGE MD

Original Issue Date

06/24/2016

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

07/22/2023