SAMAN D PERERA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026051

License Status

EXPIRED

Business

First Name

SAMAN

Middle

Last Name

PERERA

Business Name

SAMAN D PERERA

Original Issue Date

10/04/1990

Effective Date

10/04/1990

Expiration Date

10/14/1991

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006