ALAN JAY SHAPIRO DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012571

License Status

INACTIVE

Business

First Name

ALAN JAY

Last Name

SHAPIRO

Suffix

DDS

Business Name

ALAN JAY SHAPIRO DDS

Original Issue Date

07/14/1964

Effective Date

07/19/2012

Expiration Date

09/30/2015

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

06/08/2015