BYUNGKWEN SONG Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001526

License Status

EXPIRED

Business

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

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Prosthodontics

Ever Disciplined

LastModifiedDate

08/05/2009