JEA SUB SONG Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038011133

License Status

INACTIVE

Business

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

City

PEORIA

State

Zip

85345

County

ARIZONA

Ever Disciplined

LastModifiedDate

04/07/2011