ALBERT JAE SONG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048164

License Status

EXPIRED

Business

Title

First Name

ALBERT

Middle

JAE

Last Name

SONG

Business Name

ALBERT JAE SONG MD

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

06/23/2005

City

OAK BROOK

State

Zip

60523

Ever Disciplined

LastModifiedDate

09/22/2006