JONATHAN K SONG DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147611

License Status

NOT RENEWED

Business

Title

First Name

JONATHAN

Middle

Last Name

SONG

Business Name

JONATHAN K SONG DO

Original Issue Date

10/19/2018

Effective Date

10/19/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021