BRENT DAVID PARRY DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000340

License Status

EXPIRED

Business

First Name

BRENT

Middle

DAVID

Last Name

PARRY

Suffix

DPM

Business Name

BRENT DAVID PARRY DPM

Original Issue Date

06/26/1997

Effective Date

06/26/1997

Expiration Date

06/30/1998

City

CANTON

State

Zip

61520

County

PEORIA

Ever Disciplined

LastModifiedDate

09/25/2006