DA YOUNG SONG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078196

License Status

CANCELLED

Business

Title

First Name

DA YOUNG

Last Name

SONG

Business Name

DA YOUNG SONG MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

OLYMPIA FIELDS

State

Zip

60461

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/13/2021