Jianming Song
Physician
Indiana 01062364A Expired Non-Renewable
This Indiana license was held by Jianming Song. The license is no longer active. It was granted on 06/16/2006 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 01062364A
- Category: Physician
- Status: Expired Non-Renewable
- Date Granted: 06/16/2006 (almost 19 years ago)
- Expiry Date: 06/30/2007 (almost 18 years ago)
LOCATIONS
A Address
Portland OR 97221