SHANE AUBREY SERFLING DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

First Name

SHANE

Middle

AUBREY

Last Name

SERFLING

Suffix

Business Name

SHANE AUBREY SERFLING DO

Original Issue Date

04/18/2007

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61636

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2023