MICHAEL H SONG Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036648

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

Last Name

SONG

Business Name

MICHAEL H SONG

Original Issue Date

06/12/1997

Effective Date

06/12/1997

Expiration Date

06/30/2004

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

09/22/2006