License holder summary

Jie Song is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jie Song is Pathology Consultants Inc., 113 E 4th Street, Michigan City IN 46360. This licensed professional license is current. The license was granted 04/04/2011 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jie Song
Controlled Substance Registration - Physician
License number
01069290B
Date granted
04/04/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Pathology Consultants Inc., 113 E 4th Street, Michigan City IN 46360
indianalicensing.org
ID 5892804
LAST UPDATED 2024-03-25 07:33:35 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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