IRA LEE SHAPIRA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

First Name

IRA LEE

Last Name

SHAPIRA

Suffix

DDS

Business Name

IRA LEE SHAPIRA DDS

Original Issue Date

04/27/1999

Effective Date

04/27/1999

Expiration Date

09/30/2000

City

BEACH PARK

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005