PADMA PIYASEELI WIJETILLEKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050947

License Status

NOT RENEWED

Business

First Name

PADMA PIYASEELI

Last Name

WIJETILLEKE

Suffix

Business Name

PADMA PIYASEELI WIJETILLEKE MD

Original Issue Date

04/14/1975

Effective Date

04/14/1975

Expiration Date

07/31/1984

City

NORTH ARLINGTON

State

Zip

22207

County

VIRGINIA

Ever Disciplined

LastModifiedDate

09/20/2006