ELLEN SONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162273

License Status

ACTIVE

Business

Title

First Name

ELLEN

Last Name

SONG

Business Name

ELLEN SONG MD

Original Issue Date

09/06/2022

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/06/2023