TAE HO SONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139306

License Status

ACTIVE

Business

Title

First Name

TAE

Middle

Last Name

SONG

Business Name

TAE HO SONG MD

Original Issue Date

10/28/2015

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2023