SHALINI ERANGA JAYAWICKRAMA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

Title

First Name

SHALINI

Middle

ERANGA

Last Name

JAYAWICKRAMA

Business Name

SHALINI ERANGA JAYAWICKRAMA MD

Original Issue Date

02/14/2022

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/14/2023