TIMOTHY S SHINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

TIMOTHY S

Last Name

SHINE

Suffix

Business Name

TIMOTHY S SHINE MD

Original Issue Date

07/01/1985

Effective Date

07/01/1985

Expiration Date

07/31/1987

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006