ELIZABETH A SHAPIRO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

NOT RENEWED

Business

First Name

ELIZABETH A

Last Name

SHAPIRO

Suffix

DDS

Business Name

ELIZABETH A SHAPIRO DDS

Original Issue Date

02/17/1989

Effective Date

02/17/1989

Expiration Date

09/30/2004

City

AMBOY

State

Zip

61310

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005