JEFFERY SCOTT DEACON DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****80

License Status

ACTIVE

Business

First Name

JEFFERY SCOTT

Last Name

DEACON

Suffix

DPM

Business Name

JEFFERY SCOTT DEACON DPM

Original Issue Date

06/04/1996

Effective Date

01/07/2025

Expiration Date

01/31/2027

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025