CHARLES S SHAFFER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057454

License Status

EXPIRED

Business

First Name

CHARLES

Middle

Last Name

SHAFFER

Suffix

Business Name

CHARLES S SHAFFER MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/07/2013