LAKSHMI S BODDAPATI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

LAKSHMI S

Last Name

BODDAPATI

Suffix

Business Name

LAKSHMI S BODDAPATI MD

Original Issue Date

03/11/1992

Effective Date

07/09/2014

Expiration Date

07/31/2017

City

JOLIET

State

Zip

60433

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017