SARAH JANE SHAPIRO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059618

License Status

CANCELLED

Business

Title

First Name

SARAH

Middle

JANE

Last Name

SHAPIRO

Business Name

SARAH JANE SHAPIRO MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

06/23/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/27/2011