TIPHANI VONTRAI JAMES DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005842

License Status

ACTIVE

Business

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

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/14/2025