HEAMIN THOMAS SHIN DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****60

License Status

CANCELLED

Business

First Name

HEAMIN

Middle

THOMAS

Last Name

SHIN

Suffix

DPM

Business Name

HEAMIN THOMAS SHIN DPM

Original Issue Date

02/07/2002

Effective Date

02/07/2002

Expiration Date

01/31/2003

City

CHICAGO

State

Zip

60624

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006