LUCAS J SHAFFER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003189

License Status

NOT RENEWED

Business

First Name

LUCAS

Middle

Last Name

SHAFFER

Business Name

LUCAS J SHAFFER

Original Issue Date

02/11/2008

Effective Date

01/25/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014