JOHN C SHAFFER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094515

License Status

NOT RENEWED

Business

First Name

JOHN C

Last Name

SHAFFER

Suffix

Business Name

JOHN C SHAFFER MD

Original Issue Date

11/13/1996

Effective Date

07/16/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/01/2017