AMANDA PAPPAS SHAFFER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

ACTIVE

Business

Title

DMD

First Name

AMANDA

Middle

PAPPAS

Last Name

SHAFFER

Business Name

AMANDA PAPPAS SHAFFER DMD

Original Issue Date

04/21/2020

Effective Date

07/08/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2024