MICHAEL BENJAMIN SHAPIRO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

BENJAMIN

Last Name

SHAPIRO

Suffix

Business Name

MICHAEL BENJAMIN SHAPIRO MD

Original Issue Date

03/04/2002

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023