CHUNG M SONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

ACTIVE

Business

First Name

CHUNG M

Last Name

SONG

Suffix

Business Name

CHUNG M SONG MD

Original Issue Date

05/03/1984

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60621

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2023