PATRICK P CHANG - Medical Doctor License in Illinois | # 125041859

PATRICK P CHANG

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041859

License Status

EXPIRED

Business

N

First Name

PATRICK

Middle

P

Last Name

CHANG

Business Name

PATRICK P CHANG

Original Issue Date

06/22/2000

Effective Date

06/22/2000

Expiration Date

06/21/2003

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006