NAVODA LAKSITHA MIRIHAGALLE MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049231097

License Status

NOT RENEWED

Business

Title

First Name

NAVODA LAKSITHA

Last Name

MIRIHAGALLE

Business Name

NAVODA LAKSITHA MIRIHAGALLE MD

Original Issue Date

02/11/2015

Effective Date

03/08/2018

Expiration Date

03/31/2019

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/15/2019