SARA A SHAPIRO - Physician Assistant License in Illinois | # 085004438

SARA A SHAPIRO

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004438

License Status

NOT RENEWED

Business

N

First Name

SARA

Middle

A

Last Name

SHAPIRO

Business Name

SARA A SHAPIRO

Original Issue Date

09/05/2012

Effective Date

01/16/2014

Expiration Date

03/01/2016

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016