IVAN LEE SHAPIRO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

IVAN LEE

Last Name

SHAPIRO

Suffix

Business Name

IVAN LEE SHAPIRO MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1996

City

BATAVIA

State

Zip

60510

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006