LUCAS J SHAFFER - Physician Assistant License in Illinois | # 085003189

LUCAS J SHAFFER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003189

License Status

NOT RENEWED

Business

N

First Name

LUCAS

Middle

J

Last Name

SHAFFER

Business Name

LUCAS J SHAFFER

Original Issue Date

02/11/2008

Effective Date

01/25/2012

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

04/08/2014