IMMI SONG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023240

License Status

NOT RENEWED

Business

First Name

IMMI

Last Name

SONG

Suffix

DDS

Business Name

IMMI SONG DDS

Original Issue Date

06/14/1993

Effective Date

06/14/1993

Expiration Date

09/30/1996

City

BUENA PARK

State

Zip

90620

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005