ERIC CHRISTOPHER SHAFER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

Title

First Name

ERIC

Middle

CHRISTOPHER

Last Name

SHAFER

Business Name

ERIC CHRISTOPHER SHAFER DO

Original Issue Date

11/17/2015

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021