SANDRA SHIN DMD Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

INOPERATIVE

Business

First Name

SANDRA

Last Name

SHIN

Suffix

DMD

Business Name

SANDRA SHIN DMD

Original Issue Date

10/13/1998

Effective Date

10/13/1998

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005