SOO JA SONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053795

License Status

NOT RENEWED

Business

First Name

SOO JA

Last Name

SONG

Suffix

Business Name

SOO JA SONG MD

Original Issue Date

10/14/1976

Effective Date

10/14/1976

Expiration Date

07/31/2002

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006