ANTHONY DAYLE SCROGGINS DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****71

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

DAYLE

Last Name

SCROGGINS

Suffix

DPM

Business Name

ANTHONY DAYLE SCROGGINS DPM

Original Issue Date

07/26/2000

Effective Date

02/02/2021

Expiration Date

01/31/2023

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023