JAE HYUN SONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050711

License Status

NOT RENEWED

Business

First Name

JAE HYUN

Last Name

SONG

Suffix

Business Name

JAE HYUN SONG MD

Original Issue Date

02/25/1975

Effective Date

09/18/2020

Expiration Date

07/31/2023

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023