RICKY DAVID SHAPIRO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002100

License Status

ACTIVE

Business

First Name

RICKY

Middle

DAVID

Last Name

SHAPIRO

Business Name

RICKY DAVID SHAPIRO

Original Issue Date

09/30/2003

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

12/04/2025