MICHELLE MARY SHAFER DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000577

License Status

EXPIRED

Business

Title

First Name

MICHELLE

Middle

MARY

Last Name

SHAFER

Business Name

MICHELLE MARY SHAFER DO

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

12/31/2015

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

Family Practice

Ever Disciplined

LastModifiedDate

06/10/2016