MICHAEL SHIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Last Name

SHIN

Business Name

MICHAEL SHIN MD

Original Issue Date

03/11/2009

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

SPRING VALLEY

State

Zip

61362

County

BUREAU

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023