IN CHUL SONG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051545

License Status

INACTIVE

Business

First Name

IN CHUL

Last Name

SONG

Suffix

Business Name

IN CHUL SONG MD

Original Issue Date

08/15/1975

Effective Date

08/15/1975

Expiration Date

07/31/1987

City

NEW YORK

State

Zip

10021

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006