BENJAMIN SEUNGCHUL SHIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

Title

First Name

BENJAMIN

Middle

SEUNGCHUL

Last Name

SHIN

Business Name

BENJAMIN SEUNGCHUL SHIN MD

Original Issue Date

08/03/2020

Effective Date

08/03/2020

Expiration Date

07/31/2023

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023