SREEVIDYA BODEPUDI DO - Medical Doctor License in Illinois | # 036163030

SREEVIDYA BODEPUDI DO

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163030

License Status

ACTIVE

Business

N

Title

DO

First Name

SREEVIDYA

Last Name

BODEPUDI

Business Name

SREEVIDYA BODEPUDI DO

Original Issue Date

11/29/2022

Effective Date

04/21/2023

Expiration Date

07/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

04/21/2023