NILUPA SEWWANDI GASPE MUDIYANSELAGE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146147

License Status

ACTIVE

Business

Title

First Name

NILUPA

Middle

SEWWANDI

Last Name

GASPE MUDIYANSELAGE

Business Name

NILUPA SEWWANDI GASPE MUDIYANSELAGE MD

Original Issue Date

05/15/2018

Effective Date

05/22/2023

Expiration Date

07/31/2026

City

O'FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/22/2023