PHILIP HEE GHUN SHIN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030461

License Status

ACTIVE

Business

Title

DDS

First Name

PHILIP

Middle

HEE GHUN

Last Name

SHIN

Business Name

PHILIP HEE GHUN SHIN DDS

Original Issue Date

08/19/2015

Effective Date

08/15/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/15/2024