SARA A SHAPIRO Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****61

License Status

INOPERATIVE

Business

First Name

SARA

Middle

Last Name

SHAPIRO

Business Name

SARA A SHAPIRO

Original Issue Date

11/28/2012

Effective Date

01/16/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

07/02/2014