DHRUVATEJ BODDUPALLI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153879

License Status

ACTIVE

Business

Title

First Name

DHRUVATEJ

Last Name

BODDUPALLI

Business Name

DHRUVATEJ BODDUPALLI MD

Original Issue Date

07/29/2020

Effective Date

05/28/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60563

Ever Disciplined

LastModifiedDate

05/28/2023