CHUNG M SONG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016262

License Status

EXPIRED

Business

First Name

CHUNG M

Last Name

SONG

Suffix

Business Name

CHUNG M SONG MD

Original Issue Date

07/25/1983

Effective Date

07/25/1983

Expiration Date

07/01/1985

City

CHICAGO

State

Zip

60660

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006