LAUREN TRACEY SHAPIRO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048885

License Status

EXPIRED

Business

First Name

LAUREN

Middle

TRACEY

Last Name

SHAPIRO

Suffix

Business Name

LAUREN TRACEY SHAPIRO MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/31/2008