ELIZA SUEME SHIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

ELIZA

Middle

SUEME

Last Name

SHIN

Suffix

Business Name

ELIZA SUEME SHIN MD

Original Issue Date

06/15/2005

Effective Date

05/28/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2019

Case Number

2019009901

Action

Surrender (Relinquish)

Discipline Start Date

11/08/2019

Discipline Reason

due to committing an offense against the United States in which she participated in a scheme to defraud Medicare between 2012 and 2014.