JAE-CHUL SONG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001321

License Status

NOT RENEWED

Business

First Name

JAE-CHUL

Last Name

SONG

Suffix

DDS

Business Name

JAE-CHUL SONG DDS

Original Issue Date

02/07/2002

Effective Date

02/07/2002

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005