WILLIAM R SHAFFER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121384

License Status

NOT RENEWED

Business

Title

First Name

WILLIAM

Middle

Last Name

SHAFFER

Business Name

WILLIAM R SHAFFER MD

Original Issue Date

07/02/2008

Effective Date

07/02/2008

Expiration Date

07/31/2011

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011