License holder summary

BLAKE RICHARD SHAFFER is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for BLAKE RICHARD SHAFFER is Wilkes Barre PA 18702. This medical practitioner license is current. The license was granted 05/14/2015 and expired on 06/23/2016.

Department of State

Board of Medicine

BLAKE RICHARD SHAFFER
Graduate Medical Trainee
License number
MT208977
Date granted
05/14/2015
Date expires
06/23/2016
Class
Graduate Medical Trainee
Status
Active
Address
Wilkes Barre PA 18702
medicinepa.com
ID 37571415
LAST UPDATED 2024-03-14 16:44:07 UTC

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