MISHAIL ALEXANDER SHAPIRO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

ACTIVE

Business

First Name

MISHAIL

Middle

ALEXANDER

Last Name

SHAPIRO

Suffix

Business Name

MISHAIL ALEXANDER SHAPIRO DO

Original Issue Date

09/30/1999

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023