SANYA SUNIL LULLA Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000959

License Status

CANCELLED

Business

First Name

SANYA

Middle

SUNIL

Last Name

LULLA

Business Name

SANYA SUNIL LULLA

Original Issue Date

06/07/2017

Effective Date

07/01/2017

Expiration Date

07/01/2020

City

MAYWOOD

State

Zip

60153

Ever Disciplined

LastModifiedDate

06/07/2017