THEODORE EDWARD SCHAFER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

THEODORE EDWARD

Last Name

SCHAFER

Suffix

Business Name

THEODORE EDWARD SCHAFER MD

Original Issue Date

01/01/1997

Effective Date

07/13/2011

Expiration Date

07/31/2014

City

FRANKFORT

State

Zip

60423

County

WILL

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/17/2014