CASEY ALLEN SHAFFER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

CASEY

Middle

ALLEN

Last Name

SHAFFER

Suffix

Business Name

CASEY ALLEN SHAFFER MD

Original Issue Date

05/19/2008

Effective Date

05/19/2008

Expiration Date

07/31/2011

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011