JAYASIRI RAVINAT FERNANDO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

First Name

JAYASIRI RAVINAT

Last Name

FERNANDO

Suffix

Business Name

JAYASIRI RAVINAT FERNANDO MD

Original Issue Date

01/01/1997

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023