TAEK SOO SHIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116597

License Status

NOT RENEWED

Business

First Name

TAEK

Middle

SOO

Last Name

SHIN

Suffix

Business Name

TAEK SOO SHIN MD

Original Issue Date

07/24/2006

Effective Date

06/18/2020

Expiration Date

07/31/2023

City

PROSPER

State

Zip

75078

Ever Disciplined

LastModifiedDate

11/30/2023