ZENAS M SHAFER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

NOT RENEWED

Business

First Name

ZENAS M

Last Name

SHAFER

Business Name

ZENAS M SHAFER

Original Issue Date

01/01/1998

Expiration Date

09/30/1986

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005