THOMAS KEVIN BRATTAIN DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****79

License Status

ACTIVE

Business

Title

DPM

First Name

THOMAS

Middle

KEVIN

Last Name

BRATTAIN

Business Name

THOMAS KEVIN BRATTAIN DPM

Original Issue Date

06/29/1981

Effective Date

11/11/2024

Expiration Date

01/31/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/11/2024