JESSICA SUEJUNG SHIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

Title

First Name

JESSICA

Middle

SUEJUNG

Last Name

SHIN

Business Name

JESSICA SUEJUNG SHIN MD

Original Issue Date

09/20/2018

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

MINNEAPOLIS

State

Zip

55417

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2023