SANKARA R PERURI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

SANKARA R

Last Name

PERURI

Business Name

SANKARA R PERURI

Original Issue Date

01/01/1997

Effective Date

04/26/2011

Expiration Date

07/31/2014

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014