DARAVATEY DARAVUTH PEL DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****71

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

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2026