VIRGINIA OLIVA SHAFFER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

Title

First Name

VIRGINIA

Middle

OLIVA

Last Name

SHAFFER

Business Name

VIRGINIA OLIVA SHAFFER MD

Original Issue Date

01/25/2024

Effective Date

01/25/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/25/2024