KRISTIN OHYOUN SONG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031559

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

OHYOUN

Last Name

SONG

Business Name

KRISTIN OHYOUN SONG

Original Issue Date

04/19/2018

Effective Date

04/19/2018

Expiration Date

09/30/2018

City

LONG ISLAND CITY

State

Zip

11109

Ever Disciplined

LastModifiedDate

10/31/2018