CHIYEON D SONG Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034690

License Status

EXPIRED

Business

First Name

CHIYEON

Middle

Last Name

SONG

Business Name

CHIYEON D SONG

Original Issue Date

05/23/1996

Effective Date

05/23/1996

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

08/28/2007