FAITH SONG Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010339

License Status

ACTIVE

Business

First Name

FAITH

Last Name

SONG

Business Name

FAITH SONG

Original Issue Date

02/02/2024

Effective Date

02/02/2024

Expiration Date

03/01/2026

City

CEDAR PARK

State

Zip

78613

Ever Disciplined

LastModifiedDate

12/03/2025