SREEVIDYA BODEPUDI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163030

License Status

ACTIVE

Business

Title

First Name

SREEVIDYA

Last Name

BODEPUDI

Business Name

SREEVIDYA BODEPUDI DO

Original Issue Date

11/29/2022

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

04/21/2023