JENNA JANIGA LULLO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068499

License Status

EXPIRED

Business

Title

First Name

JENNA

Middle

JANIGA

Last Name

LULLO

Business Name

JENNA JANIGA LULLO MD

Original Issue Date

06/23/2016

Effective Date

06/23/2016

Expiration Date

06/22/2017

City

PHILADELPHIA

State

Zip

19103

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

09/19/2017