ALICE SONG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037804

License Status

EXPIRED

Business

First Name

ALICE

Last Name

SONG

Suffix

Business Name

ALICE SONG MD

Original Issue Date

06/15/1998

Effective Date

06/15/1998

Expiration Date

06/14/1999

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006