MICHAEL SAUL SHAPIRO MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****68

NOT RENEWED

N

MICHAEL

SAUL

SHAPIRO

MD

MICHAEL SAUL SHAPIRO MD

01/01/1997

07/10/2008

07/31/2011

ELGIN

IL

60123

KANE

II III IV V

N

11/10/2011