DAVID ALLAN SHAFER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158294

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

ALLAN

Last Name

SHAFER

Business Name

DAVID ALLAN SHAFER MD

Original Issue Date

09/17/2021

Effective Date

09/17/2021

Expiration Date

07/31/2023

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/14/2025

Case Number

2021005499

Action

Reprimand

Discipline Start Date

09/16/2021

Discipline Reason

physician and surgeon license issued with reprimand due to an adverse action taken by the State of Colorado in August 2019.