KRISHANTHI DILRUKSHI SENEVIRATNE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053619

License Status

CANCELLED

Business

Title

First Name

KRISHANTHI

Middle

DILRUKSHI

Last Name

SENEVIRATNE

Business Name

KRISHANTHI DILRUKSHI SENEVIRATNE MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

CRYSTAL LAKE

State

Zip

60014

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/18/2007