TIPHANI VONTRAI JAMES DPM - Podiatrist License in Illinois | # 016005842

TIPHANI VONTRAI JAMES DPM

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005842

License Status

ACTIVE

Business

N

Title

DPM

First Name

TIPHANI

Middle

VONTRAI

Last Name

JAMES

Business Name

TIPHANI VONTRAI JAMES DPM

Original Issue Date

06/03/2019

Effective Date

12/12/2024

Expiration Date

01/31/2027

State

IL

Ever Disciplined

N

LastModifiedDate

03/14/2025