NEIL DAVID SHAFFER DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110974

License Status

INACTIVE

Business

First Name

NEIL

Middle

DAVID

Last Name

SHAFFER

Suffix

Business Name

NEIL DAVID SHAFFER DO

Original Issue Date

03/10/2004

Effective Date

03/10/2004

Expiration Date

07/31/2005

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

03/03/2015