GINA KIM SONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

First Name

GINA

Middle

KIM

Last Name

SONG

Suffix

Business Name

GINA KIM SONG MD

Original Issue Date

07/05/2001

Effective Date

05/08/2023

Expiration Date

07/31/2026

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/08/2023