EDWARD HANUK SONG DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

HANUK

Last Name

SONG

Suffix

DMD

Business Name

EDWARD HANUK SONG DMD

Original Issue Date

11/03/2014

Effective Date

07/09/2018

Expiration Date

01/31/2022

City

GLENVIEW

State

Zip

60026

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022