GARY RONALD SHAPIRO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063500

License Status

NOT RENEWED

Business

First Name

GARY RONALD

Last Name

SHAPIRO

Suffix

Business Name

GARY RONALD SHAPIRO MD

Original Issue Date

10/29/1981

Effective Date

10/29/1981

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

04/01/2011