JEFFREY P SHAFER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

JEFFREY P

Last Name

SHAFER

Suffix

Business Name

JEFFREY P SHAFER MD

Original Issue Date

04/27/1990

Effective Date

06/19/2014

Expiration Date

07/31/2017

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017