DEEPA B MONTOYA DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****53

License Status

NOT RENEWED

Business

Title

DPM

First Name

DEEPA

Middle

Last Name

MONTOYA

Business Name

DEEPA B MONTOYA DPM

Original Issue Date

04/29/2014

Effective Date

02/28/2019

Expiration Date

01/31/2021

City

LOMBARD

State

Zip

60148

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021