SONG OK KANG Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006761

License Status

ACTIVE

Business

First Name

SONG

Middle

Last Name

KANG

Business Name

SONG OK KANG

Original Issue Date

09/27/2018

Effective Date

01/02/2026

Expiration Date

03/01/2028

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

01/02/2026