SANJAYA P SOORIARACHCHI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

SANJAYA

Middle

Last Name

SOORIARACHCHI

Business Name

SANJAYA P SOORIARACHCHI

Original Issue Date

05/02/2003

Effective Date

05/02/2003

Expiration Date

07/31/2005

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006