The holder whose full name is Schaffer, Jeffrey Lynn,come from Fort Wayne IN,hold the CSR-Physician license(NO.01037657B) which status is Expired.
| Name | Schaffer, Jeffrey Lynn |
|---|---|
| License Number | 01037657B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |