JUSTIN SONG DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033660

License Status

ACTIVE

Business

Title

DMD

First Name

JUSTIN

Last Name

SONG

Business Name

JUSTIN SONG DMD

Original Issue Date

06/01/2022

Effective Date

07/12/2024

Expiration Date

09/30/2027

City

SCHAUMBURG

State

Zip

60173

Ever Disciplined

LastModifiedDate

07/12/2024