FLORENCE SUN-AH SHIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

Title

First Name

FLORENCE

Middle

SUN-AH

Last Name

SHIN

Business Name

FLORENCE SUN-AH SHIN MD

Original Issue Date

11/23/2021

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

PORTLAND

State

Zip

97229

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023