DANIEL JON SHAPIRO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011341

License Status

ACTIVE

Business

First Name

DANIEL

Middle

JON

Last Name

SHAPIRO

Business Name

DANIEL JON SHAPIRO

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

03/01/2026

City

SUN PRAIRIE

State

Zip

53590

Ever Disciplined

LastModifiedDate

12/03/2025