SALUJA KAUSHALI MAHABAMUNUGE Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001069

License Status

EXPIRED

Business

First Name

SALUJA

Middle

KAUSHALI

Last Name

MAHABAMUNUGE

Business Name

SALUJA KAUSHALI MAHABAMUNUGE

Original Issue Date

08/30/2019

Effective Date

03/24/2020

Expiration Date

08/31/2021

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2022