MYOUNGSU SONG DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032794

License Status

ACTIVE

Business

Title

DMD

First Name

MYOUNGSU

Last Name

SONG

Business Name

MYOUNGSU SONG DMD

Original Issue Date

07/13/2020

Effective Date

08/30/2024

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/30/2024