BYUNGKWEN SONG - Dentist License in Illinois | # 018001526

BYUNGKWEN SONG

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001526

License Status

EXPIRED

Business

N

First Name

BYUNGKWEN

Last Name

SONG

Business Name

BYUNGKWEN SONG

Original Issue Date

10/22/2004

Effective Date

04/03/2007

Expiration Date

07/30/2009

State

IL

Specialty/Qualifier

Prosthodontics

Ever Disciplined

N

LastModifiedDate

08/05/2009