SAMUEL SUNG WON SONG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053777

License Status

EXPIRED

Business

First Name

SAMUEL

Middle

SUNG WON

Last Name

SONG

Suffix

Business Name

SAMUEL SUNG WON SONG MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2011

City

PALM DESERT

State

Zip

92260

County

CALIFORNIA

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

07/19/2011