CHARLES Y CHANG MD - Medical Doctor License in Illinois | # 125054599

CHARLES Y CHANG MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054599

License Status

EXPIRED

Business

N

Title

MD

First Name

CHARLES

Middle

Y

Last Name

CHANG

Business Name

CHARLES Y CHANG MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2011

State

IL

Specialty/Qualifier

Urology

Ever Disciplined

N

LastModifiedDate

07/19/2011