The holder whose full name is Shafer, Elaine Lois,come from Elkhart IN,hold the Medical Residency Permit license(NO.11006470A) which status is Expired.
| Name | Shafer, Elaine Lois |
|---|---|
| License Number | 11006470A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | Elkhart |
| State | IN |