BRAD WILLIAM SHUFELT MD
Temporary Medical Permit
Illinois 125053078 Canceled
This Illinois license was held by BRAD WILLIAM SHUFELT MD. The license is no longer active. It was granted on 05/23/2007 and expired on 06/30/2011
LICENSE DETAILS
- License Number: 125053078
- Category: TEMPORARY MEDICAL PERMIT
- Status: Canceled
- Date Granted: 05/23/2007 (almost 17 years ago)
- Expiry Date: 06/30/2011 (almost 13 years ago)
LOCATIONS
A Address
SPRING GROVE, IL 60081