PETER S CHANG MD - Medical Doctor License in Illinois | # 125027050

PETER S CHANG MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027050

License Status

EXPIRED

Business

N

First Name

PETER S

Last Name

CHANG

Suffix

MD

Business Name

PETER S CHANG MD

Original Issue Date

06/03/1991

Effective Date

06/03/1991

Expiration Date

06/20/1994

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006