KRISTEN NANCY SHAFER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188001000

License Status

EXPIRED

Business

Title

First Name

KRISTEN

Middle

NANCY

Last Name

SHAFER

Business Name

KRISTEN NANCY SHAFER MD

Original Issue Date

02/08/2023

Effective Date

02/08/2023

Expiration Date

08/07/2023

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

Trauma Rotation

Ever Disciplined

LastModifiedDate

03/06/2024