BRADLEY D SHAPIRO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

First Name

BRADLEY D

Last Name

SHAPIRO

Business Name

BRADLEY D SHAPIRO

Original Issue Date

08/09/1993

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

HOFFMAN ESTATES

State

Zip

60169

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023