PREESHINI MALINTHA FERNANDO KURUKULASURIYA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

Title

First Name

PREESHINI

Middle

MALINTHA

Last Name

FERNANDO KURUKULASURIYA

Business Name

PREESHINI MALINTHA FERNANDO KURUKULASURIYA MD

Original Issue Date

07/13/2015

Effective Date

07/13/2015

Expiration Date

07/31/2017

City

BURLINGTON

State

Zip

01803

County

MASSACHUSETTS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017