JONATHAN MARC SHAPIRO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

MARC

Last Name

SHAPIRO

Suffix

Business Name

JONATHAN MARC SHAPIRO MD

Original Issue Date

03/03/1998

Effective Date

03/03/1998

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006