DARRELL RAY LATVA Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****33

License Status

ACTIVE

Business

First Name

DARRELL RAY

Last Name

LATVA

Business Name

DARRELL RAY LATVA

Original Issue Date

03/19/1986

Effective Date

02/13/2025

Expiration Date

01/31/2027

City

TINLEY PARK

State

Zip

60487

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/13/2025