HEESEOP SHIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

Title

First Name

HEESEOP

Last Name

SHIN

Business Name

HEESEOP SHIN MD

Original Issue Date

01/30/2020

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61603

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023