HASITHA RANATUNGA IDANGODAGE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

Title

First Name

HASITHA

Middle

RANATUNGA

Last Name

IDANGODAGE

Business Name

HASITHA RANATUNGA IDANGODAGE MD

Original Issue Date

06/24/2016

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62526

County

NORTH DAKOTA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2023