RUSHIKA JEROME FERNANDOPULLE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137919

License Status

INACTIVE

Business

Title

First Name

RUSHIKA

Middle

JEROME

Last Name

FERNANDOPULLE

Business Name

RUSHIKA JEROME FERNANDOPULLE MD

Original Issue Date

05/04/2015

Effective Date

05/04/2015

Expiration Date

07/31/2017

City

MEDFORD

State

Zip

02155

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

04/12/2017