BRIAN D SHIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

SHIN

Suffix

DDS

Business Name

BRIAN D SHIN DDS

Original Issue Date

07/23/2007

Effective Date

06/12/2015

Expiration Date

09/30/2018

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018