JOONGYU DANIEL SONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166237

License Status

ACTIVE

Business

Title

First Name

JOONGYU

Middle

DANIEL

Last Name

SONG

Business Name

JOONGYU DANIEL SONG MD

Original Issue Date

07/31/2023

Effective Date

07/31/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

06/28/2023