SONG CHANG YUN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

Title

First Name

SONG

Middle

CHANG

Last Name

YUN

Business Name

SONG CHANG YUN MD

Original Issue Date

07/21/2025

Effective Date

07/21/2025

Expiration Date

07/31/2026

City

BAYSIDE

State

Zip

11360

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

07/21/2025