JENNY SHAFFER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

Title

First Name

JENNY

Last Name

SHAFFER

Business Name

JENNY SHAFFER MD

Original Issue Date

10/29/2019

Effective Date

10/29/2019

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63128

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021