SCOTT I SONG MD 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

SCOTT I

Last Name

SONG

Suffix

Business Name

SCOTT I SONG MD

Original Issue Date

08/31/1989

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

PALATINE

State

Zip

60067

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/05/2023