JEA SUB SONG - Medical Doctor License in Arizona | # 038011133

JEA SUB SONG

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038011133

License Status

INACTIVE

Business

N

First Name

JEA

Middle

SUB

Last Name

SONG

Business Name

JEA SUB SONG

Original Issue Date

02/19/2008

Effective Date

07/03/2008

Expiration Date

07/31/2011

State

AZ

Ever Disciplined

N

LastModifiedDate

04/07/2011