GINA LYN SHAY DETMER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

ACTIVE

Business

First Name

GINA

Middle

LYN SHAY

Last Name

DETMER

Suffix

Business Name

GINA LYN SHAY DETMER MD

Original Issue Date

01/28/1999

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60623

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023