PAUL TANNER SHAFFER DPM - Podiatrist License in Illinois | # 135001034

PAUL TANNER SHAFFER DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001034

License Status

EXPIRED

Business

N

Title

DPM

First Name

PAUL

Middle

TANNER

Last Name

SHAFFER

Business Name

PAUL TANNER SHAFFER DPM

Original Issue Date

05/31/2019

Effective Date

07/01/2019

Expiration Date

07/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

02/15/2023