HAROLD S SONG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043967

License Status

INACTIVE

Business

First Name

HAROLD S

Last Name

SONG

Suffix

Business Name

HAROLD S SONG MD

Original Issue Date

12/22/1970

Effective Date

12/22/1970

Expiration Date

07/31/2005

City

OAKBROOK

State

Zip

60523

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006