RICHARD SUNG SONG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046298

License Status

EXPIRED

Business

First Name

RICHARD

Middle

SUNG

Last Name

SONG

Suffix

Business Name

RICHARD SUNG SONG MD

Original Issue Date

06/17/2003

Effective Date

06/17/2003

Expiration Date

06/16/2006

City

HOFFMAN ESTATES

State

Zip

60169

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006