SIMON JEFFERSON SHAPIRO DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064245

License Status

EXPIRED

Business

Title

First Name

SIMON

Middle

JEFFERSON

Last Name

SHAPIRO

Business Name

SIMON JEFFERSON SHAPIRO DO

Original Issue Date

07/11/2013

Effective Date

07/11/2013

Expiration Date

07/10/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

09/04/2015