SAULENA SYLVIA SHAFER DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059714

License Status

EXPIRED

Business

Title

First Name

SAULENA

Middle

SYLVIA

Last Name

SHAFER

Business Name

SAULENA SYLVIA SHAFER DO

Original Issue Date

06/22/2014

Effective Date

06/22/2014

Expiration Date

06/21/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/04/2015