JAMES SONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

ACTIVE

Business

First Name

JAMES

Last Name

SONG

Suffix

Business Name

JAMES SONG MD

Original Issue Date

06/03/2004

Effective Date

05/01/2023

Expiration Date

07/31/2026

City

NILES

State

Zip

60714

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2023