DARAVATEY DARAVUTH PEL DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016006150

License Status

ACTIVE

Business

Title

DPM

First Name

DARAVATEY

Middle

DARAVUTH

Last Name

PEL

Business Name

DARAVATEY DARAVUTH PEL DPM

Original Issue Date

03/09/2026

Effective Date

03/09/2026

Expiration Date

01/31/2027

City

DEARBORN HEIGHTS

State

Zip

48125

Ever Disciplined

LastModifiedDate

03/09/2026