SANJEEV LULLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040852

License Status

CANCELLED

Business

First Name

SANJEEV

Last Name

LULLA

Suffix

Business Name

SANJEEV LULLA MD

Original Issue Date

06/24/2000

Effective Date

06/24/2000

Expiration Date

06/23/2004

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006