PHILIP SONG DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036175882

License Status

ACTIVE

Business

Title

First Name

PHILIP

Last Name

SONG

Business Name

PHILIP SONG DO

Original Issue Date

07/07/2025

Effective Date

07/07/2025

Expiration Date

07/31/2026

City

PLAINVIEW

State

Zip

11803

Ever Disciplined

LastModifiedDate

07/07/2025