DARRELL RAY LATVA Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****34

License Status

NOT RENEWED

Business

First Name

DARRELL RAY

Last Name

LATVA

Business Name

DARRELL RAY LATVA

Original Issue Date

03/06/1990

Effective Date

03/06/1990

Expiration Date

01/31/1995

City

TINLEY PARK

State

Zip

60477

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006