THOMAS C CHANG - Medical Doctor License in Illinois | # 125032499

THOMAS C CHANG

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032499

License Status

EXPIRED

Business

N

First Name

THOMAS

Middle

C

Last Name

CHANG

Business Name

THOMAS C CHANG

Original Issue Date

05/11/1995

Effective Date

05/11/1995

Expiration Date

06/23/1999

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

09/22/2006