JONATHAN Y SONG Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

JONATHAN

Middle

Last Name

SONG

Business Name

JONATHAN Y SONG

Original Issue Date

03/25/2002

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

ST CHARLES

State

Zip

60175

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023