License holder summary

MABODAWILAGE GANGA HEMATILLAKE is a Board Of Medicine licensed to practice in Idaho. The address on file for MABODAWILAGE GANGA HEMATILLAKE is 62 Conifer St. White River Junction VT 05001. This licensed professional license is current. The license was granted 06/06/2002 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

MABODAWILAGE GANGA HEMATILLAKE
Board Of Medicine
License number
M-8520
Date granted
06/06/2002
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
62 Conifer St. White River Junction VT 05001
idaholicensing.com
ID 48335288
LAST UPDATED 2026-06-01 12:42:14 UTC

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