JULIE M SHAPIRO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

JULIE

Middle

Last Name

SHAPIRO

Business Name

JULIE M SHAPIRO

Original Issue Date

10/26/2000

Effective Date

07/18/2014

Expiration Date

07/31/2017

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017