ANITA MARIE SHAPIRO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001658

License Status

NOT RENEWED

Business

First Name

ANITA MARIE

Last Name

SHAPIRO

Business Name

ANITA MARIE SHAPIRO

Original Issue Date

07/13/1972

Effective Date

09/30/2009

Expiration Date

09/30/2012

City

COUNTRY CLUB HILLS

State

Zip

60478

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012