NEIL DAVID SHAFFER DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042894

License Status

EXPIRED

Business

First Name

NEIL

Middle

DAVID

Last Name

SHAFFER

Suffix

Business Name

NEIL DAVID SHAFFER DO

Original Issue Date

06/19/2001

Effective Date

06/19/2001

Expiration Date

06/18/2004

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006