BUDEIAH BOTLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056318

License Status

ACTIVE

Business

First Name

BUDEIAH

Last Name

BOTLA

Suffix

Business Name

BUDEIAH BOTLA MD

Original Issue Date

01/19/1978

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

07/01/2023