CHANG B SHIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

First Name

CHANG

Middle

Last Name

SHIN

Suffix

Business Name

CHANG B SHIN MD

Original Issue Date

08/22/1997

Effective Date

08/22/1997

Expiration Date

07/31/1999

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006