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.
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.
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 |
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 |
Street Address | 7049 N Fairchild Circle |
City | Fox POint |
State | WI |
Zip Code | 53217 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
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 |
Find all Licenses in zip 53217 |
City | Fox POint |
Zip Code | 53217 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Fox POint |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Medista A Jayasuriya | 9 Chamberlain Ln, South Glastonbury, CT 06073 | Licensed Practical Nurse | 2020-05-01 ~ 2021-04-30 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
Barbara A Brandes Md | Danbury Office of Physician Services, Danbury, CT 06810 | Physician/surgeon | 2004-07-08 ~ 2005-07-31 |
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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).