RICHARD L SHAFFER DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****92

NOT RENEWED

N

RICHARD

L

SHAFFER

DO

RICHARD L SHAFFER DO

01/15/2008

09/20/2011

07/31/2014

MOLINE

IL

61265

ROCK ISLAND

PRACTITIONER

II III IV V

N

04/08/2014