WEIZHONG SONG - Physician Assistant License in Wisconsin | # 085005637

WEIZHONG SONG

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005637

License Status

NOT RENEWED

Business

N

First Name

WEIZHONG

Last Name

SONG

Business Name

WEIZHONG SONG

Original Issue Date

09/17/2015

Effective Date

02/18/2016

Expiration Date

03/01/2018

State

WI

Ever Disciplined

N

LastModifiedDate

05/10/2018