DARRELL RAY LATVA - Podiatrist License in Illinois | # 016003092

DARRELL RAY LATVA

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003092

License Status

ACTIVE

Business

N

First Name

DARRELL RAY

Last Name

LATVA

Business Name

DARRELL RAY LATVA

Original Issue Date

06/27/1979

Effective Date

02/13/2025

Expiration Date

01/31/2027

State

IL

Ever Disciplined

N

LastModifiedDate

02/26/2025