DANIEL INSUNG SONG DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

ACTIVE

Business

First Name

DANIEL INSUNG

Last Name

SONG

Suffix

DDS

Business Name

DANIEL INSUNG SONG DDS

Original Issue Date

09/15/1997

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/21/2024