HANYUAN SHI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

Title

First Name

HANYUAN

Last Name

SHI

Business Name

HANYUAN SHI MD

Original Issue Date

09/25/2025

Effective Date

09/25/2025

Expiration Date

07/31/2026

City

LEXINGTON

State

Zip

40503

County

FAYETTE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2025