JONATHAN MARC SHAPIRO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097248

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

MARC

Last Name

SHAPIRO

Suffix

Business Name

JONATHAN MARC SHAPIRO MD

Original Issue Date

02/02/1998

Effective Date

02/02/1998

Expiration Date

07/31/2002

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006