BRETT MICHAEL SHAFFER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

Title

First Name

BRETT

Middle

MICHAEL

Last Name

SHAFFER

Business Name

BRETT MICHAEL SHAFFER MD

Original Issue Date

03/20/2023

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/24/2023