EDWARD HANUK SONG DMD - Dentist License in Illinois | # 019029360

EDWARD HANUK SONG DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029360

License Status

NOT RENEWED

Business

N

First Name

EDWARD

Middle

HANUK

Last Name

SONG

Suffix

DMD

Business Name

EDWARD HANUK SONG DMD

Original Issue Date

04/30/2013

Effective Date

07/09/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022