MARY SARAH SHAPIRO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

Title

First Name

MARY

Middle

SARAH

Last Name

SHAPIRO

Business Name

MARY SARAH SHAPIRO MD

Original Issue Date

07/14/2008

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

GLENVEIW

State

Zip

60025

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023