HWE JAE SONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049261

License Status

NOT RENEWED

Business

First Name

HWE JAE

Last Name

SONG

Suffix

Business Name

HWE JAE SONG MD

Original Issue Date

06/03/1974

Effective Date

06/03/1974

Expiration Date

07/31/1987

City

GREEN BAY

State

Zip

54301

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006