STEVEN WEI SONG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067602

License Status

CANCELLED

Business

Title

First Name

STEVEN

Middle

WEI

Last Name

SONG

Business Name

STEVEN WEI SONG MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/11/2015