LUCAS J SHAFFER Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****15

License Status

INOPERATIVE

Business

First Name

LUCAS

Middle

Last Name

SHAFFER

Business Name

LUCAS J SHAFFER

Original Issue Date

03/25/2008

Effective Date

01/25/2012

Expiration Date

03/01/2014

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2013