THUSHANTHI SHANILA PERERA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

Title

First Name

THUSHANTHI

Middle

SHANILA

Last Name

PERERA

Business Name

THUSHANTHI SHANILA PERERA MD

Original Issue Date

06/07/2017

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60304

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023