SUNG HO SONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

SUNG HO

Last Name

SONG

Suffix

Business Name

SUNG HO SONG MD

Original Issue Date

04/17/1992

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/05/2020