The holder whose full name is SHAFFER, KENNETA JEAN,come from Spencer IN,hold the Physician license(NO.01020626A) which status is Expired Non-Renewable.
| Name | SHAFFER, KENNETA JEAN |
|---|---|
| License Number | 01020626A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Spencer |
| State | IN |