SANDRA S SONG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

NOT RENEWED

Business

Title

DDS

First Name

SANDRA

Middle

Last Name

SONG

Business Name

SANDRA S SONG DDS

Original Issue Date

12/21/2017

Effective Date

11/11/2021

Expiration Date

09/30/2024

City

YORKVILLE

State

Zip

60560

County

KENDALL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025