License holder summary

JAE WON SONG is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for JAE WON SONG is Media PA 19063. This medical practitioner license is not current. The license was granted 04/16/2012 and expired on 06/30/2013.

Department of State

Board of Medicine

JAE WON SONG
Graduate Medical Trainee
License number
MT201106
Date granted
04/16/2012
Date expires
06/30/2013
Class
Graduate Medical Trainee
Status
Expired
Address
Media PA 19063
medicinepa.com
ID 37570605
LAST UPDATED 2024-04-09 15:39:35 UTC

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