VIVEKA BODDIPALLI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130678

License Status

ACTIVE

Business

Title

First Name

VIVEKA

Last Name

BODDIPALLI

Business Name

VIVEKA BODDIPALLI MD

Original Issue Date

06/29/2012

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

ELMHURST

State

Zip

60126

County

COOK

Ever Disciplined

LastModifiedDate

05/19/2023