MARY SARAH SHAPIRO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049073

License Status

EXPIRED

Business

Title

First Name

MARY

Middle

SARAH

Last Name

SHAPIRO

Business Name

MARY SARAH SHAPIRO MD

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2008

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/26/2008