License holder summary

Jae W Song is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Jae W Song is 55 Fruit Street, Blake Sub-basement RM 0029, Boston 02114. This licensed professional license is current. The license was granted 01/07/2016 and expired on 12/22/2016.

Massachusetts

Division of Professional Licensure

Jae W Song
Board Of Registration In Medicine
License number
265464
Date granted
01/07/2016
Date expires
12/22/2016
Class
Board Of Registration In Medicine
Status
Active
Address
55 Fruit Street, Blake Sub-basement RM 0029
licensingma.org
ID 41483759
LAST UPDATED 2024-05-16 00:10:29 UTC

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