SHIWEN SONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

SHIWEN

Last Name

SONG

Suffix

Business Name

SHIWEN SONG MD

Original Issue Date

06/15/2012

Effective Date

06/15/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020