JANA N SHAFFER Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****26

License Status

INOPERATIVE

Business

First Name

JANA

Middle

Last Name

SHAFFER

Business Name

JANA N SHAFFER

Original Issue Date

04/07/2008

Effective Date

01/25/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2013