MISHAIL ALEXANDER SHAPIRO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100018

License Status

ACTIVE

Business

First Name

MISHAIL

Middle

ALEXANDER

Last Name

SHAPIRO

Suffix

Business Name

MISHAIL ALEXANDER SHAPIRO DO

Original Issue Date

04/12/1999

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

07/11/2023