GRACE SONG MD - Medical Doctor License in Ohio | # 036108609

GRACE SONG MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108609

License Status

NOT RENEWED

Business

N

First Name

GRACE

Last Name

SONG

Suffix

MD

Business Name

GRACE SONG MD

Original Issue Date

02/18/2003

Effective Date

02/18/2003

Expiration Date

07/31/2005

State

OH

Ever Disciplined

N

LastModifiedDate

10/09/2006