WILLIAM O SHAFFER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

WILLIAM O

Last Name

SHAFFER

Suffix

Business Name

WILLIAM O SHAFFER MD

Original Issue Date

05/04/1995

Effective Date

05/04/1995

Expiration Date

07/31/1999

City

EAST ST LOUIS

State

Zip

62201

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006