JEFFERY SCOTT DEACON DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004769

License Status

ACTIVE

Business

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

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

02/26/2025