JOONG DUG SHIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

JOONG DUG

Last Name

SHIN

Suffix

Business Name

JOONG DUG SHIN MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

CANTON

State

Zip

61520

County

FULTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006