VIPULI ERANDATHIE JAYESINGHE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051844

License Status

CANCELLED

Business

First Name

VIPULI

Middle

ERANDATHIE

Last Name

JAYESINGHE

Suffix

Business Name

VIPULI ERANDATHIE JAYESINGHE MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

OAK BROOK

State

Zip

60523

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006