BENJAMIN SEUNGCHUL SHIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071701

License Status

CANCELLED

Business

Title

First Name

BENJAMIN

Middle

SEUNGCHUL

Last Name

SHIN

Business Name

BENJAMIN SEUNGCHUL SHIN MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

04/23/2018