JAMES SONG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039103

License Status

EXPIRED

Business

First Name

JAMES

Last Name

SONG

Suffix

Business Name

JAMES SONG MD

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2004

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006