IMMI SONG DDS - Dentist License in California | # 019023240

IMMI SONG DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023240

License Status

NOT RENEWED

Business

N

First Name

IMMI

Last Name

SONG

Suffix

DDS

Business Name

IMMI SONG DDS

Original Issue Date

06/14/1993

Effective Date

06/14/1993

Expiration Date

09/30/1996

State

CA

Ever Disciplined

N

LastModifiedDate

10/12/2005