DANIELLE A SHAFER DO
Temporary Medical Permit
Illinois 125039161 Expired
This Illinois license was held by DANIELLE A SHAFER DO. The license is no longer active. It was granted on 06/22/1999 and expired on 06/21/2002
LICENSE DETAILS
- License Number: 125039161
- Category: TEMPORARY MEDICAL PERMIT
- Status: Expired
- Date Granted: 06/22/1999 (almost 26 years ago)
- Expiry Date: 06/21/2002 (almost 23 years ago)
LOCATIONS
A Address
Richmond, VA 23219