SUSIE SHIN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

ACTIVE

Business

Title

DMD

First Name

SUSIE

Last Name

SHIN

Business Name

SUSIE SHIN DMD

Original Issue Date

04/18/2024

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/16/2024