GINA KIM SONG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039739

License Status

EXPIRED

Business

First Name

GINA

Middle

KIM

Last Name

SONG

Suffix

Business Name

GINA KIM SONG MD

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006