PATRICK B SHAFFER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016563

License Status

NOT RENEWED

Business

First Name

PATRICK B

Last Name

SHAFFER

Suffix

DDS

Business Name

PATRICK B SHAFFER DDS

Original Issue Date

09/26/1978

Effective Date

09/26/1978

Expiration Date

09/30/2000

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005