GARY E SCHAFFEL

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****20

ACTIVE

N

GARY E

SCHAFFEL

GARY E SCHAFFEL

08/23/1996

07/08/2023

07/31/2026

LAKE FOREST

IL

60045

LAKE

II III IV V

N

07/08/2023