KATHY J SHAFER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

ACTIVE

Business

First Name

KATHY J

Last Name

SHAFER

Suffix

DMD

Business Name

KATHY J SHAFER DMD

Original Issue Date

09/11/1992

Effective Date

06/22/2024

Expiration Date

09/30/2027

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2024