DARRELL RAY LATVA Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003092

License Status

ACTIVE

Business

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

City

TINLEY PARK

State

Zip

60487

County

WILL

Ever Disciplined

LastModifiedDate

02/26/2025