DHEERAJ BODDI REDDY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125087056

License Status

ACTIVE

Business

Title

First Name

DHEERAJ

Last Name

BODDI REDDY

Business Name

DHEERAJ BODDI REDDY MD

Original Issue Date

07/07/2025

Effective Date

07/07/2025

Expiration Date

07/06/2028

City

PEORIA

State

Zip

61605

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

07/07/2025