JAE YONG SHIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

JAE

Middle

YONG

Last Name

SHIM

Suffix

Business Name

JAE YONG SHIM MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006