SHAN DE YIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000432

License Status

EXPIRED

Business

Title

First Name

SHAN

Middle

Last Name

YIN

Business Name

SHAN DE YIN MD

Original Issue Date

12/23/2011

Effective Date

12/23/2011

Expiration Date

06/22/2012

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

08/29/2012