ALICIA SHANTA JEFFCOAT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165157

License Status

ACTIVE

Business

Title

First Name

ALICIA

Middle

SHANTA

Last Name

JEFFCOAT

Business Name

ALICIA SHANTA JEFFCOAT MD

Original Issue Date

06/13/2023

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

LAFAYETTE

State

Zip

70508

Ever Disciplined

LastModifiedDate

10/25/2025