GRACE VICTORIA DAVID Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****28

License Status

ACTIVE

Business

First Name

GRACE VICTORIA

Last Name

DAVID

Business Name

GRACE VICTORIA DAVID

Original Issue Date

01/10/1995

Effective Date

11/07/2024

Expiration Date

01/31/2027

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025