DAVID ALLAN SHAFER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

ALLAN

Last Name

SHAFER

Business Name

DAVID ALLAN SHAFER MD

Original Issue Date

09/17/2021

Effective Date

09/17/2021

Expiration Date

07/31/2023

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023