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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, May 18, 2024 7:03 PM CDT
Next Update: Sunday, May 19, 2024 2:50 AM CDT

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SHIN, MIKE SHIBUM       
Practice Address: 375TH MEDICAL GROUP/SGCQSL
ENT CLINIC 310 W LOSEY ST BLDG 1530
SCOTT AFB IL 62225-525
Phone #: (618) 256-7520
Fax #:
County: NOT OKLAHOMA
License: 22219
Dated: 1/5/2001
Expires: 1/1/2007
License Type: Medical Doctor
Specialty: Otolaryngology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ of TX at San Antonio, UTSA Long School of Medicine
Graduated: 5 / 1999
CME Year: 2007
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
375TH MEDICAL GROUP/SGCQSL
ENT CLINIC 310 W LOSEY ST BLDG 1530
SCOTT AFB IL 62225-525

Phone #: (618) 256-7520
Fax #:

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