EVAN SHIN CHWA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

NOT RENEWED

Business

Title

DMD

First Name

EVAN

Middle

SHIN

Last Name

CHWA

Business Name

EVAN SHIN CHWA DMD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

09/30/2024

City

NORTHBROOK

State

Zip

60062

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

02/04/2025