PAUL TANNER SHAFFER DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001034

License Status

EXPIRED

Business

Title

DPM

First Name

PAUL

Middle

TANNER

Last Name

SHAFFER

Business Name

PAUL TANNER SHAFFER DPM

Original Issue Date

05/31/2019

Effective Date

07/01/2019

Expiration Date

07/01/2022

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

02/15/2023