CHANG B SHIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089704

License Status

NOT RENEWED

Business

First Name

CHANG

Middle

Last Name

SHIN

Suffix

Business Name

CHANG B SHIN MD

Original Issue Date

09/23/1994

Effective Date

09/23/1994

Expiration Date

07/31/1999

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2010

Case Number

2010006314

Action

Refuse To Renew

Discipline Start Date

09/23/2010

Discipline Reason

after being disciplined by the state of Washington.