RANDOLPH LEE SCHAFFER III MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****25

NOT RENEWED

N

RANDOLPH

LEE

SCHAFFER

III MD

RANDOLPH LEE SCHAFFER III MD

08/27/2001

08/27/2001

07/31/2005

CHICAGO

IL

60637

COOK

II III IV V

N

10/09/2006