SENURI UPEKSHA DISSANAYAKE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083058

License Status

ACTIVE

Business

Title

First Name

SENURI

Middle

UPEKSHA

Last Name

DISSANAYAKE

Business Name

SENURI UPEKSHA DISSANAYAKE MD

Original Issue Date

08/22/2023

Effective Date

08/22/2023

Expiration Date

08/21/2026

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

08/22/2023