MOHIN TISSA SAMARAWEERA MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042004084

License Status

NOT RENEWED

Business

Business Name

MOHIN TISSA SAMARAWEERA MD SC

Original Issue Date

06/02/1980

Effective Date

10/15/2013

Expiration Date

01/01/2015

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

11/04/2015