DONALD H SONG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

CANCELLED

Business

First Name

DONALD H

Last Name

SONG

Suffix

Business Name

DONALD H SONG MD

Original Issue Date

02/20/1986

Effective Date

02/20/1986

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006