JEREMY R SHAPIRO DO Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041344495

License Status

INACTIVE

Business

Title

First Name

JEREMY

Middle

Last Name

SHAPIRO

Business Name

JEREMY R SHAPIRO DO

Original Issue Date

02/10/2005

Effective Date

03/19/2014

Expiration Date

05/31/2016

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

03/16/2016