MARK W CHANG MD - Medical Doctor License in Illinois | # 125020978

MARK W CHANG MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020978

License Status

EXPIRED

Business

N

First Name

MARK W

Last Name

CHANG

Suffix

MD

Business Name

MARK W CHANG MD

Original Issue Date

05/23/1987

Effective Date

05/23/1987

Expiration Date

06/25/1990

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006