PAUL YONGJIN SONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

YONGJIN

Last Name

SONG

Suffix

Business Name

PAUL YONGJIN SONG MD

Original Issue Date

04/07/1995

Effective Date

04/07/1995

Expiration Date

07/31/1996

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011