SONG OK KANG Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****79

License Status

ACTIVE

Business

First Name

SONG

Middle

Last Name

KANG

Business Name

SONG OK KANG

Original Issue Date

09/27/2018

Effective Date

01/02/2026

Expiration Date

03/01/2028

City

DECATUR

State

Zip

62521

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/02/2026