SASANKA N JAYASURIYA
Physician/surgeon


Address: 7049 N Fairchild Circle, Fox Point, WI 53217

SASANKA N JAYASURIYA (Credential# 1195802) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.

Business Overview

SASANKA N JAYASURIYA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052645. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 7049 N Fairchild Circle, Fox Point, WI 53217. The current status is active.

Basic Information

Licensee Name SASANKA N JAYASURIYA
Credential ID 1195802
Credential Number 1.052645
Credential Type Physician/Surgeon
Business Address 7049 N Fairchild Circle
Fox Point
WI 53217
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2013-12-24
Effective Date 2020-05-01
Expiration Date 2021-04-30
Refresh Date 2020-04-30

Other licenses

ID Credential Code Credential Type Issue Term Status
1170767 CSP.0055009 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-07-08 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 7049 N Fairchild Circle
City Fox POint
State WI
Zip Code 53217

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Crystal King Stair 5359 N Berkeley Blvd, Whitefish Bay, WI 53217 Pharmacist 2020-02-01 ~ 2022-01-31
Margaret M Cook 8273 North Gray Log Lane, Fox Point, WI 53217 Pharmacist 2020-02-01 ~ 2022-01-31
Permanent Portfolio Family of Funds, Inc. 700 W. Apple Tree Rd., Milwaukee, WI 53217 Investment Company - Open End 2019-12-31 ~ 2020-12-31
Kathryn Lyn Breland 131 W. Good Hope Rd., Glendale, WI 53217 Registered Nurse 2020-03-01 ~ 2021-02-28
Ali K. Choucair 9000 N. White Oak Lane #207, Milwaukee, WI 53217 Physician/surgeon ~
William H Emory · Klug & Smith Co 5738 No Shore Dr, Milwaukee, WI 53217 Professional Engineer 1991-01-28 ~ 1992-01-31
Margo T Zimmermann 321 East Ravine Baye Rd, Bayside, WI 53217 Speech and Language Pathologist 2009-12-01 ~ 2010-11-30
Cynthia M Schiff 942 E Meadow Pl, Milwaukee, WI 53217 Registered Nurse 1996-06-04 ~ 1997-06-30
Joseph S Sarnoski 1907 W County Line, Milwaukee, WI 53217 Physician/surgeon 1997-05-15 ~ 1998-06-30
Jill A Goldstein 1405 E. Bywater Lane, Fox Point, WI 53217 Registered Nurse 2007-07-27 ~ 2008-08-31
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Competitor

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City Fox POint
Zip Code 53217
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Fox POint

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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