SUNG SIK SHIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017616

License Status

EXPIRED

Business

First Name

SUNG SIK

Last Name

SHIN

Suffix

Business Name

SUNG SIK SHIN MD

Original Issue Date

07/25/1984

Effective Date

07/25/1984

Expiration Date

06/25/1986

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006