BRUCE SHAPIRO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161620

License Status

ACTIVE

Business

Title

First Name

BRUCE

Last Name

SHAPIRO

Business Name

BRUCE SHAPIRO MD

Original Issue Date

07/23/2022

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

Ever Disciplined

LastModifiedDate

04/06/2023