THEODORE EDWARD SCHAFER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036105

License Status

NOT RENEWED

Business

First Name

THEODORE EDWARD

Last Name

SCHAFER

Suffix

Business Name

THEODORE EDWARD SCHAFER MD

Original Issue Date

09/09/1959

Effective Date

07/13/2011

Expiration Date

07/31/2014

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

11/17/2014