LAUREN QUINN SHAPIRO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

Title

First Name

LAUREN

Middle

QUINN

Last Name

SHAPIRO

Business Name

LAUREN QUINN SHAPIRO MD

Original Issue Date

07/24/2012

Effective Date

07/24/2012

Expiration Date

07/31/2014

City

MADISON

State

Zip

53711

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014