FRANCIS FENG SONG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050501

License Status

CANCELLED

Business

First Name

FRANCIS

Middle

FENG

Last Name

SONG

Suffix

Business Name

FRANCIS FENG SONG MD

Original Issue Date

08/08/2005

Effective Date

08/08/2005

Expiration Date

08/07/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Preventive Medicine

Ever Disciplined

LastModifiedDate

09/22/2006