CASEY ALLEN SHAFFER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120939

License Status

NOT RENEWED

Business

First Name

CASEY

Middle

ALLEN

Last Name

SHAFFER

Suffix

Business Name

CASEY ALLEN SHAFFER MD

Original Issue Date

05/19/2008

Effective Date

05/19/2008

Expiration Date

07/31/2011

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/14/2011