ALEXANDRA PAE SONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

Title

First Name

ALEXANDRA

Middle

PAE

Last Name

SONG

Business Name

ALEXANDRA PAE SONG MD

Original Issue Date

06/18/2003

Effective Date

06/18/2003

Expiration Date

07/31/2008

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017