MICHAEL ALAN SHAPIRO 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

MICHAEL

Middle

ALAN

Last Name

SHAPIRO

Business Name

MICHAEL ALAN SHAPIRO

Original Issue Date

05/28/1998

Effective Date

05/28/1998

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020