BETTY SIHUI SONG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068714

License Status

EXPIRED

Business

Title

First Name

BETTY

Middle

SIHUI

Last Name

SONG

Business Name

BETTY SIHUI SONG MD

Original Issue Date

06/26/2019

Effective Date

06/26/2019

Expiration Date

06/25/2020

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

11/19/2020