SHALINI ERANGA JAYAWICKRAMA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074887

License Status

CANCELLED

Business

Title

First Name

SHALINI

Middle

ERANGA

Last Name

JAYAWICKRAMA

Business Name

SHALINI ERANGA JAYAWICKRAMA MD

Original Issue Date

06/20/2019

Effective Date

06/20/2019

Expiration Date

06/19/2022

City

CHICAGO

State

Zip

60657

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/11/2019