TROY BRADLEY SHAFFER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

First Name

TROY BRADLEY

Last Name

SHAFFER

Suffix

Business Name

TROY BRADLEY SHAFFER DO

Original Issue Date

08/13/1997

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

LOVES PARK

State

Zip

61114

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023