HARSHI KALPANA PERERA

Business Entity
ACTIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****80

ACTIVE

N

HARSHI

KALPANA

PERERA

HARSHI KALPANA PERERA

09/28/2023

02/12/2026

03/01/2028

HERRIN

IL

62948

WILLIAMSON

II III IV V

N

02/12/2026