MICHAEL J SHAPIRO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015442

License Status

EXPIRED

Business

First Name

MICHAEL J

Last Name

SHAPIRO

Suffix

Business Name

MICHAEL J SHAPIRO MD

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

06/30/1985

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006