GUOQING SONG Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****71

License Status

NOT RENEWED

Business

First Name

GUOQING

Last Name

SONG

Business Name

GUOQING SONG

Original Issue Date

07/29/2016

Effective Date

07/29/2016

Expiration Date

03/01/2018

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/10/2018