PRIYAN VASANTHA PERERA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060720

License Status

EXPIRED

Business

Title

First Name

PRIYAN

Middle

VASANTHA

Last Name

PERERA

Business Name

PRIYAN VASANTHA PERERA MD

Original Issue Date

09/14/2011

Effective Date

09/14/2011

Expiration Date

09/13/2014

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

03/13/2015