NATHAN I SHAPIRO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034815

License Status

EXPIRED

Business

First Name

NATHAN

Middle

Last Name

SHAPIRO

Business Name

NATHAN I SHAPIRO

Original Issue Date

06/03/1996

Effective Date

06/03/1996

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006