HELEN J SONG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

First Name

HELEN J

Last Name

SONG

Suffix

DDS

Business Name

HELEN J SONG DDS

Original Issue Date

01/30/1996

Effective Date

08/19/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012