ANTHONY DAYLE SCROGGINS DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000417

License Status

EXPIRED

Business

First Name

ANTHONY

Middle

DAYLE

Last Name

SCROGGINS

Suffix

DPM

Business Name

ANTHONY DAYLE SCROGGINS DPM

Original Issue Date

06/01/1999

Effective Date

06/01/1999

Expiration Date

06/30/2000

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

09/25/2006