ROBERT W SHAFER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

ACTIVE

Business

First Name

ROBERT W

Last Name

SHAFER

Suffix

DMD

Business Name

ROBERT W SHAFER DMD

Original Issue Date

10/26/1994

Effective Date

07/29/2024

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2024