ISAAC DAVID SCHAFER Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****98

License Status

INOPERATIVE

Business

First Name

ISAAC

Middle

DAVID

Last Name

SCHAFER

Business Name

ISAAC DAVID SCHAFER

Original Issue Date

04/14/2016

Effective Date

01/09/2020

Expiration Date

03/01/2022

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

01/03/2022