DUSHYANTHA THILA JAYAWEERA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

DUSHYANTHA THILA

Last Name

JAYAWEERA

Business Name

DUSHYANTHA THILA JAYAWEERA

Original Issue Date

03/22/1988

Effective Date

03/22/1988

Expiration Date

07/31/1990

City

HINES

State

Zip

60141

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006