SHYAMA DILANI WICKRAMAARATCHI DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140834

License Status

NOT RENEWED

Business

Title

First Name

SHYAMA

Middle

DILANI

Last Name

WICKRAMAARATCHI

Business Name

SHYAMA DILANI WICKRAMAARATCHI DO

Original Issue Date

06/07/2016

Effective Date

06/07/2016

Expiration Date

07/31/2017

City

EAST PATCHOGUE

State

Zip

11772

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/01/2017