TIPHANI VONTRAI JAMES DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****39

License Status

ACTIVE

Business

Title

DPM

First Name

TIPHANI

Middle

VONTRAI

Last Name

JAMES

Business Name

TIPHANI VONTRAI JAMES DPM

Original Issue Date

08/26/2019

Effective Date

12/12/2024

Expiration Date

01/31/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025