SONG QING ZHAO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

Title

First Name

SONG

Middle

QING

Last Name

ZHAO

Business Name

SONG QING ZHAO MD

Original Issue Date

06/28/2018

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

07/27/2023