NOVELLA ANN SCHAFER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037340

License Status

NOT RENEWED

Business

First Name

NOVELLA ANN

Last Name

SCHAFER

Suffix

Business Name

NOVELLA ANN SCHAFER MD

Original Issue Date

09/15/1961

Effective Date

07/07/2017

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021