YOUNG SONG KIM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042443

License Status

INACTIVE

Business

First Name

YOUNG SONG

Last Name

KIM

Suffix

Business Name

YOUNG SONG KIM MD

Original Issue Date

04/14/1969

Effective Date

04/14/1969

Expiration Date

07/31/1987

City

PORTLAND

State

Zip

97216

County

OREGON

Ever Disciplined

LastModifiedDate

09/20/2006