GENE L CHANG - Medical Doctor License in Illinois | # 125042293

GENE L CHANG

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042293

License Status

EXPIRED

Business

N

First Name

GENE

Middle

L

Last Name

CHANG

Business Name

GENE L CHANG

Original Issue Date

06/28/2001

Effective Date

06/28/2001

Expiration Date

06/27/2004

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006