PREESHINI MALINTHA FERNANDO KURUKULASURIYA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060760

License Status

CANCELLED

Business

Title

First Name

PREESHINI

Middle

MALINTHA

Last Name

FERNANDO KURUKULASURIYA

Business Name

PREESHINI MALINTHA FERNANDO KURUKULASURIYA MD

Original Issue Date

06/25/2015

Effective Date

06/25/2015

Expiration Date

07/29/2015

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/16/2015