DONG HOON SONG DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

ACTIVE

Business

Title

DDS

First Name

DONG HOON

Last Name

SONG

Business Name

DONG HOON SONG DDS

Original Issue Date

02/05/2021

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

KENOSHA

State

Zip

53144

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024