MARC J SHAPIRO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076247

License Status

NOT RENEWED

Business

First Name

MARC J

Last Name

SHAPIRO

Suffix

Business Name

MARC J SHAPIRO MD

Original Issue Date

10/31/1987

Effective Date

10/31/1987

Expiration Date

07/31/2005

City

ST LOUIS

State

Zip

63110

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006