TINA MARIE PISCITELLI-SHAFFER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

Title

First Name

TINA

Middle

MARIE

Last Name

PISCITELLI-SHAFFER

Business Name

TINA MARIE PISCITELLI-SHAFFER DO

Original Issue Date

03/21/2024

Effective Date

03/21/2024

Expiration Date

07/31/2026

City

CHARDON

State

Zip

44024

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/21/2024