RONALD M SHAFER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

First Name

RONALD M

Last Name

SHAFER

Suffix

Business Name

RONALD M SHAFER MD

Original Issue Date

03/26/1996

Effective Date

03/26/1996

Expiration Date

07/31/1999

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006