BRENT DAVID PARRY DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004894

License Status

ACTIVE

Business

First Name

BRENT

Middle

DAVID

Last Name

PARRY

Suffix

DPM

Business Name

BRENT DAVID PARRY DPM

Original Issue Date

09/23/1998

Effective Date

12/31/2024

Expiration Date

01/31/2027

City

CANTON

State

Zip

61520

County

PEORIA

Ever Disciplined

LastModifiedDate

02/26/2025