SREEVIDYA BODEPUDI DO - Medical Doctor License in Illinois | # 125076769

SREEVIDYA BODEPUDI DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076769

License Status

CANCELLED

Business

N

Title

DO

First Name

SREEVIDYA

Last Name

BODEPUDI

Business Name

SREEVIDYA BODEPUDI DO

Original Issue Date

06/23/2020

Effective Date

06/23/2020

Expiration Date

06/22/2023

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

04/13/2020