ELIZA SUEME SHIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034601

License Status

EXPIRED

Business

First Name

ELIZA

Middle

SUEME

Last Name

SHIN

Suffix

Business Name

ELIZA SUEME SHIN MD

Original Issue Date

05/21/1996

Effective Date

05/21/1996

Expiration Date

06/17/1998

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006