MOHIN T SAMARAWEERA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

MOHIN T

Last Name

SAMARAWEERA

Suffix

Business Name

MOHIN T SAMARAWEERA MD

Original Issue Date

01/01/1997

Effective Date

06/30/2014

Expiration Date

07/31/2017

City

PLAINFIELD

State

Zip

60544

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017