JENNIFER SONG ROXAS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052922

License Status

CANCELLED

Business

Title

First Name

JENNIFER

Middle

SONG

Last Name

ROXAS

Business Name

JENNIFER SONG ROXAS MD

Original Issue Date

06/18/2010

Effective Date

06/18/2010

Expiration Date

08/31/2011

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

04/07/2010