EDWARD A SHAPIRO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052935

License Status

NOT RENEWED

Business

First Name

EDWARD A

Last Name

SHAPIRO

Suffix

Business Name

EDWARD A SHAPIRO MD

Original Issue Date

07/15/1976

Effective Date

07/15/1976

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/30/2009