KURUKULASURIYA P FERNANDO (Credential# 1286714) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 2, 2015. The license expiration date date is November 30, 2016. The license status is INACTIVE.
KURUKULASURIYA P FERNANDO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054739. The credential type is physician/surgeon. The effective date is November 2, 2015. The expiration date is November 30, 2016. The business address is 1012 E Kerr Ave Apt 305, Urbana, IL 61802-9105. The current status is inactive.
| Licensee Name | KURUKULASURIYA P FERNANDO |
| Credential ID | 1286714 |
| Credential Number | 1.054739 |
| Credential Type | Physician/Surgeon |
| Business Address |
1012 E Kerr Ave Apt 305 Urbana IL 61802-9105 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2015-11-02 |
| Effective Date | 2015-11-02 |
| Expiration Date | 2016-11-30 |
| Refresh Date | 2017-03-05 |
| Street Address | 1012 E KERR AVE APT 305 |
| City | URBANA |
| State | IL |
| Zip Code | 61802-9105 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa A Pacelli | 1905 N Cunningham Ave, Urbana, IL 61802 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Robert M Goss | 1805 Trails Dr, Urbana, IL 61802 | Electrical Unlimited Journeyperson | 2008-10-01 ~ 2009-09-30 |
| Alan J Cohen | 412 Beringer Circle, Urbana, IL 61802 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Muhammad Waseem Athar | 711 Western Ave Apt B, Urbana, IL 61801-8820 | Physician/surgeon | 2020-03-06 ~ 2021-03-31 |
| Amanda Elizabeth Jackson | 5111 Evans Rd, Urbana, OH 43078-9728 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Kathryn A Zimmerman | 115 W. Main Street, Suite 400, Urbana, IL 61801 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Charles W Drocea | Po Box 17305, Urbana, IL 61803-7305 | Physician/surgeon | 2018-11-01 ~ 2019-10-31 |
| Applied Pavement Technology Inc | 115 W Main St Suite #400, Urbana, IL 61801 | Professional Engineering Corporation | 2018-11-15 ~ 2019-11-14 |
| Futons By Bender | 1108 N Cunningham Ave, Urbana, IL 61801 | Manufacturer of Bedding & Upholstered Furniture | 1991-05-07 ~ 1992-05-07 |
| Tanweer A Baig | 9202 Shafers Mill Dr, Urbana, MD 21704-7329 | Professional Engineer | 2016-02-18 ~ 2017-01-31 |
| Jonathan Ek | 306 W Griggs #209, Urbana, IL 61801 | Physician/surgeon | ~ |
| Rey Anthony C Carreon | 210 S Race St, Urbana, IL 61801-4165 | Physical Therapist | 2016-03-01 ~ 2017-02-28 |
| Christina L Pendergrass | 1171 Edinger Rd, Urbana, OH 43078 | Registered Nurse | 2016-03-01 ~ 2017-02-28 |
| Find all Licenses in URBANA | |||
| City | URBANA |
| Zip Code | 61802 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + URBANA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ranjani Kurukulasuriya | 127 Homestead Dr, South Windsor, CT 06074 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
| Fernando Mejia | Box 508, Norwich, CT 06360 | Physician/surgeon | 1995-05-26 ~ 1996-06-30 |
| Fernando Losada | Po Box 155, Sharon, CT 06069 | Physician/surgeon | 2004-03-30 ~ 2005-03-31 |
| Fernando J. Martinez | 300 Cedar St # Tacs441, New Haven, CT 06519-1612 | Physician/surgeon | ~ |
| Kumudhini Fernando | 46 Grouse Ln, Woodbridge, CT 06525-1451 | Physician/surgeon | 2018-09-01 ~ 2019-08-31 |
| Fernando Sanchez Md | 1 Washington Sq, New Britain, CT 06051 | Physician/surgeon | 1998-01-13 ~ 1999-02-28 |
| Sanjay Fernando Md | 1 Herald Sq, New Britain, CT 06051-5006 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Fernando R Diaz | 14171 Valentine Trl, Largo, FL 33774-2834 | Physician/surgeon | ~ |
| Fernando Afonso Md | 5 Wisteria Ln, Oxford, CT 06478 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Fernando E Ottino | 40 Prospect Ave., Norwalk, CT 06850 | Physician/surgeon | 2009-06-19 ~ 2009-11-30 |
Please comment or provide details below to improve the information on KURUKULASURIYA P FERNANDO.
| 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).