GINA KIM SONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104024

License Status

ACTIVE

Business

First Name

GINA

Middle

KIM

Last Name

SONG

Suffix

Business Name

GINA KIM SONG MD

Original Issue Date

01/12/2001

Effective Date

05/08/2023

Expiration Date

07/31/2026

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Ever Disciplined

LastModifiedDate

05/08/2023