JEREMY R SHAPIRO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

ACTIVE

Business

Title

First Name

JEREMY

Middle

Last Name

SHAPIRO

Business Name

JEREMY R SHAPIRO DO

Original Issue Date

04/09/2024

Effective Date

04/09/2024

Expiration Date

07/31/2026

City

MORRIS

State

Zip

60450

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2024