Suisui Song
ExpiredCalifornia license A119546
License
- Licensed by
- Medical Board of California
- License number
- A119546
- Status
- Expired (Delinquent)
- First issued
- December 30, 2011
- Expired
- June 30, 2023
- License holder
- Suisui Song
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
1022 W Altgeld St
Chicago, IL 60614-2209
Chicago, IL 60614-2209
Cook County