SCOTT BOOKER O'CONNOR DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005106

License Status

ACTIVE

Business

Title

DPM

First Name

SCOTT

Middle

BOOKER

Last Name

O'CONNOR

Business Name

SCOTT BOOKER O'CONNOR DPM

Original Issue Date

12/05/2002

Effective Date

11/04/2024

Expiration Date

01/31/2027

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/04/2024