ALICIA SHANTA JEFFCOAT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

ACTIVE

Business

Title

First Name

ALICIA

Middle

SHANTA

Last Name

JEFFCOAT

Business Name

ALICIA SHANTA JEFFCOAT MD

Original Issue Date

08/10/2023

Effective Date

08/10/2023

Expiration Date

07/31/2026

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/10/2023