MANUJI BANDARA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085265

License Status

ACTIVE

Business

Title

First Name

MANUJI

Last Name

BANDARA

Business Name

MANUJI BANDARA MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

ROCKFORD

State

Zip

61114

County

BOONE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/18/2025