STUART Z SHAPIRO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

STUART Z

Last Name

SHAPIRO

Suffix

Business Name

STUART Z SHAPIRO MD

Original Issue Date

03/08/1988

Effective Date

03/08/1988

Expiration Date

07/31/1993

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/26/2006