EUI JONG SHIN DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001485

License Status

EXPIRED

Business

First Name

EUI

Middle

JONG

Last Name

SHIN

Suffix

DMD

Business Name

EUI JONG SHIN DMD

Original Issue Date

08/27/2004

Effective Date

08/27/2004

Expiration Date

07/31/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Prosthodontics

Ever Disciplined

LastModifiedDate

11/03/2006