JEFFERY SCOTT DEACON DPM - Podiatrist License in Illinois | # 016004769

JEFFERY SCOTT DEACON DPM

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004769

License Status

ACTIVE

Business

N

First Name

JEFFERY SCOTT

Last Name

DEACON

Suffix

DPM

Business Name

JEFFERY SCOTT DEACON DPM

Original Issue Date

05/21/1996

Effective Date

01/07/2025

Expiration Date

01/31/2027

State

IL

Ever Disciplined

N

LastModifiedDate

02/26/2025