MARK ALLEN SHAFFER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

MARK ALLEN

Last Name

SHAFFER

Suffix

Business Name

MARK ALLEN SHAFFER MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1990

City

HINSDALE

State

Zip

60521

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006