AUDREY CHANG - Medical Doctor License in Illinois | # 125035024

AUDREY CHANG

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035024

License Status

EXPIRED

Business

N

First Name

AUDREY

Last Name

CHANG

Business Name

AUDREY CHANG

Original Issue Date

06/12/1996

Effective Date

06/12/1996

Expiration Date

06/16/1999

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006