DEEPA B MONTOYA DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****67

License Status

NOT RENEWED

Business

Title

DPM

First Name

DEEPA

Middle

Last Name

MONTOYA

Business Name

DEEPA B MONTOYA DPM

Original Issue Date

07/11/2014

Effective Date

01/02/2015

Expiration Date

01/31/2017

City

ELGIN

State

Zip

60123

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/27/2017