RYAN BRANDON SHAPIRO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080134

License Status

CANCELLED

Business

Title

First Name

RYAN

Middle

BRANDON

Last Name

SHAPIRO

Business Name

RYAN BRANDON SHAPIRO MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/04/2025