RYAN MINGXIAO SONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

Title

First Name

RYAN

Middle

MINGXIAO

Last Name

SONG

Business Name

RYAN MINGXIAO SONG MD

Original Issue Date

08/05/2025

Effective Date

08/05/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/05/2025