SANYA SUNIL LULLA Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****83

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

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025