SAMUEL SUNG WON SONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159456

License Status

ACTIVE

Business

First Name

SAMUEL

Middle

SUNG WON

Last Name

SONG

Suffix

Business Name

SAMUEL SUNG WON SONG MD

Original Issue Date

02/15/2022

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

HOUSTON

State

Zip

77040

Ever Disciplined

LastModifiedDate

07/22/2023