BRENT DAVID PARRY DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****93

License Status

ACTIVE

Business

First Name

BRENT

Middle

DAVID

Last Name

PARRY

Suffix

DPM

Business Name

BRENT DAVID PARRY DPM

Original Issue Date

11/04/1998

Effective Date

12/31/2024

Expiration Date

01/31/2027

City

CANTON

State

Zip

61520

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025