JEFFERSON MASON TRUPP MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171122

License Status

ACTIVE

Business

Title

First Name

JEFFERSON

Middle

MASON

Last Name

TRUPP

Business Name

JEFFERSON MASON TRUPP MD

Original Issue Date

07/12/2024

Effective Date

07/12/2024

Expiration Date

07/31/2026

City

FLORENCE

State

Zip

35634

Ever Disciplined

LastModifiedDate

07/12/2024