MINGCHEN SONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128295

License Status

ACTIVE

Business

Title

First Name

MINGCHEN

Last Name

SONG

Business Name

MINGCHEN SONG MD

Original Issue Date

06/30/2011

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/11/2023