BRADLEY D SHAPIRO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025224

License Status

EXPIRED

Business

First Name

BRADLEY D

Last Name

SHAPIRO

Business Name

BRADLEY D SHAPIRO

Original Issue Date

05/29/1990

Effective Date

05/29/1990

Expiration Date

06/19/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006