RANDOLPH LEE SCHAFFER III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104256

License Status

NOT RENEWED

Business

First Name

RANDOLPH

Middle

LEE

Last Name

SCHAFFER

Suffix

III MD

Business Name

RANDOLPH LEE SCHAFFER III MD

Original Issue Date

02/22/2001

Effective Date

02/22/2001

Expiration Date

07/31/2005

City

LA JOLLA

State

Zip

92037

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/09/2006