AMY CHAVINSON SHAPIRO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

AMY

Last Name

CHAVINSON SHAPIRO

Suffix

Business Name

AMY CHAVINSON SHAPIRO MD

Original Issue Date

08/16/1996

Effective Date

08/16/1996

Expiration Date

07/31/1999

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020