AGNES JU CHANG - Medical Doctor License in Illinois | # 125044116

AGNES JU CHANG

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044116

License Status

CANCELLED

Business

N

First Name

AGNES

Middle

JU

Last Name

CHANG

Business Name

AGNES JU CHANG

Original Issue Date

06/17/2002

Effective Date

06/17/2002

Expiration Date

06/30/2006

State

IL

Specialty/Qualifier

Dermatology

Ever Disciplined

N

LastModifiedDate

09/22/2006