JONATHAN Y SONG Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106052

License Status

ACTIVE

Business

First Name

JONATHAN

Middle

Last Name

SONG

Business Name

JONATHAN Y SONG

Original Issue Date

01/02/2002

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

04/11/2023