RANDOLPH Y CHANG MD - Medical Doctor License in Illinois | # 125024948

RANDOLPH Y CHANG MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024948

License Status

EXPIRED

Business

N

First Name

RANDOLPH Y

Last Name

CHANG

Suffix

MD

Business Name

RANDOLPH Y CHANG MD

Original Issue Date

05/22/1990

Effective Date

05/22/1990

Expiration Date

06/30/1994

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

09/22/2006