LAVANYA BODDU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121313

License Status

ACTIVE

Business

First Name

LAVANYA

Last Name

BODDU

Suffix

Business Name

LAVANYA BODDU MD

Original Issue Date

06/26/2008

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/06/2023