JONATHAN MICHAEL SHAFFER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163296

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Middle

MICHAEL

Last Name

SHAFFER

Business Name

JONATHAN MICHAEL SHAFFER DO

Original Issue Date

12/30/2022

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

07/06/2023