MALITHI HIROSHIKA JAYASUNDARA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061104

License Status

EXPIRED

Business

Title

First Name

MALITHI

Middle

HIROSHIKA

Last Name

JAYASUNDARA

Business Name

MALITHI HIROSHIKA JAYASUNDARA MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/04/2015