SONG Y YU Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117013

License Status

NOT RENEWED

Business

First Name

SONG

Middle

Last Name

Business Name

SONG Y YU

Original Issue Date

10/03/2006

Effective Date

06/30/2008

Expiration Date

07/31/2011

City

PORTAGE

State

Zip

49002

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/14/2011