SANYA SUNIL LULLA Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005900

License Status

ACTIVE

Business

First Name

SANYA

Middle

SUNIL

Last Name

LULLA

Business Name

SANYA SUNIL LULLA

Original Issue Date

07/15/2020

Effective Date

11/19/2024

Expiration Date

01/31/2027

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

02/26/2025