JERROLD EDWIN SHAPIRO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042757

License Status

NOT RENEWED

Business

First Name

JERROLD EDWIN

Last Name

SHAPIRO

Suffix

Business Name

JERROLD EDWIN SHAPIRO MD

Original Issue Date

08/08/1969

Effective Date

08/03/2020

Expiration Date

07/31/2023

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023