KENNETH W SONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169075

License Status

ACTIVE

Business

Title

First Name

KENNETH

Middle

Last Name

SONG

Business Name

KENNETH W SONG MD

Original Issue Date

03/01/2024

Effective Date

03/01/2024

Expiration Date

07/31/2026

City

LONE TREE

State

Zip

80124

County

DOUGLAS

Ever Disciplined

LastModifiedDate

03/01/2024