ALEXANDRA PAE SONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108531

License Status

NOT RENEWED

Business

Title

First Name

ALEXANDRA

Middle

PAE

Last Name

SONG

Business Name

ALEXANDRA PAE SONG MD

Original Issue Date

02/04/2003

Effective Date

06/23/2014

Expiration Date

07/31/2017

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

2007001054

Action

Suspension

Discipline Start Date

06/26/2008

Discipline End Date

07/26/2008

Discipline Reason

For improperly accessing patient information of an employee for personnel issue by using another person's access code.