Ezra David Shapiro Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

036058296

Status

Expired (Not Renewed)

First issued

January 29, 1979

Expired

July 31, 1996

License holder

Ezra David Shapiro Md

Entity type

Individual

Classifications

• Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons

More from the license record

Current term began

01/29/1979

Other Illinois licenses under this name

• IL
  Ezra David Shapiro Md

  License 33*****22

  Licensed Physician Controlled Substance (Medical Board)
  Inactive

  Peoria, IL

  Expired Jul 31, 1990

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