JEFFREY P SHAFER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

JEFFREY P

Last Name

SHAFER

Suffix

Business Name

JEFFREY P SHAFER MD

Original Issue Date

07/28/1999

Effective Date

07/28/1999

Expiration Date

07/31/2005

City

BATAVIA

State

Zip

60510

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017