SARA A SHAPIRO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004438

License Status

NOT RENEWED

Business

First Name

SARA

Middle

Last Name

SHAPIRO

Business Name

SARA A SHAPIRO

Original Issue Date

09/05/2012

Effective Date

01/16/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016