KELLIE F FLOOD-SHAFFER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095865

License Status

NOT RENEWED

Business

First Name

KELLIE F

Last Name

FLOOD-SHAFFER

Suffix

Business Name

KELLIE F FLOOD-SHAFFER MD

Original Issue Date

06/28/1997

Effective Date

06/28/1997

Expiration Date

07/31/2002

City

RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

07/08/2008