RONALD M SHAFER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092257

License Status

NOT RENEWED

Business

First Name

RONALD M

Last Name

SHAFER

Suffix

Business Name

RONALD M SHAFER MD

Original Issue Date

12/16/1995

Effective Date

12/16/1995

Expiration Date

07/31/1999

City

TERRE HAUTE

State

Zip

47802

Ever Disciplined

LastModifiedDate

07/21/2009