License Verification

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JASON JEONG HWAN SONG

License Number: ME123792

Data As Of 9/28/2022

Profession
Medical Doctor
License
ME123792
License Status
OBLIGATIONS/ACTIVE
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2023
License Original Issue Date
04/15/2015
Address of Record
2801 17th Street
Suite 202
SAINT CLOUD, FL 34769
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
Yes - Click on Discipline/Admin Action tab to see more details
Public Complaint
Yes - Click on Discipline/Admin Action tab to see more details
Address
1381 E Osceola Parkway
KISSIMMEE, FL 34744
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
PALM TREE INTERVENTIONAL PAIN MANAGEMENT Pain Management Clinic Pain Management Clinic 1833 9/25/2020
PALM TREE INTERVENTIONAL PAIN MANAGEMENT Pain Management Clinic Pain Management Clinic 1838 11/3/2020

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 9/28/2022



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


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