HWE JAE SONG MD - Medical Doctor License in Wisconsin | # 036049261

HWE JAE SONG MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049261

License Status

NOT RENEWED

Business

N

First Name

HWE JAE

Last Name

SONG

Suffix

MD

Business Name

HWE JAE SONG MD

Original Issue Date

06/03/1974

Effective Date

06/03/1974

Expiration Date

07/31/1987

State

WI

Ever Disciplined

N

LastModifiedDate

09/20/2006