KIMBERLY JUNG SONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140142

License Status

NOT RENEWED

Business

Title

First Name

KIMBERLY

Middle

JUNG

Last Name

SONG

Business Name

KIMBERLY JUNG SONG MD

Original Issue Date

03/25/2016

Effective Date

05/01/2017

Expiration Date

09/30/2020

City

SADDLE RIVER

State

Zip

07458

Ever Disciplined

LastModifiedDate

01/14/2021