SUSAN LYNNE GONNELLA MD - Medical Doctor License in New York | # 036136110

SUSAN LYNNE GONNELLA MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136110

License Status

ACTIVE

Business

N

Title

MD

First Name

SUSAN

Middle

LYNNE

Last Name

GONNELLA

Business Name

SUSAN LYNNE GONNELLA MD

Original Issue Date

08/01/2014

Effective Date

05/12/2023

Expiration Date

07/31/2026

State

NY

Ever Disciplined

N

LastModifiedDate

05/12/2023