SHIN IL NAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052538

License Status

NOT RENEWED

Business

First Name

SHIN IL

Last Name

NAM

Suffix

Business Name

SHIN IL NAM MD

Original Issue Date

03/26/1976

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2017