JAE YONG SHIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054863

License Status

NOT RENEWED

Business

First Name

JAE

Middle

YONG

Last Name

SHIM

Suffix

Business Name

JAE YONG SHIM MD

Original Issue Date

07/18/1977

Effective Date

07/18/1977

Expiration Date

07/01/1982

City

NEW BERLIN

State

Zip

53146

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/24/2007

Case Number

2006002842

Action

Refuse To Renew

Discipline Start Date

08/23/2006