KOON SUNG SONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054519

License Status

NOT RENEWED

Business

First Name

KOON SUNG

Last Name

SONG

Suffix

Business Name

KOON SUNG SONG MD

Original Issue Date

05/03/1977

Effective Date

05/03/1977

City

LEMONT

State

Zip

60439

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006