GARY RONALD SHAPIRO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

GARY RONALD

Last Name

SHAPIRO

Suffix

Business Name

GARY RONALD SHAPIRO MD

Original Issue Date

12/11/1981

Effective Date

12/11/1981

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006