ROBERT D SHAPIRO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

NOT RENEWED

Business

First Name

ROBERT D

Last Name

SHAPIRO

Suffix

DDS

Business Name

ROBERT D SHAPIRO DDS

Original Issue Date

08/24/1988

Effective Date

08/24/1988

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005