DANIEL D SHIN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

DONGJUNE

Last Name

SHIN

Business Name

DANIEL D SHIN

Original Issue Date

09/03/1997

Effective Date

09/03/1997

Expiration Date

07/31/2002

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006