HEE MAN SONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

HEE MAN

Last Name

SONG

Suffix

Business Name

HEE MAN SONG MD

Original Issue Date

01/01/1997

Effective Date

06/20/2011

Expiration Date

07/31/2014

City

WOOD RIVER

State

Zip

62095

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020