SAMUEL SUNG WON SONG MD - Medical Doctor License in California | # 125053777

SAMUEL SUNG WON SONG MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053777

License Status

EXPIRED

Business

N

First Name

SAMUEL

Middle

SUNG WON

Last Name

SONG

Suffix

MD

Business Name

SAMUEL SUNG WON SONG MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2011

State

CA

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

07/19/2011