PHILIP CHANG MD - Medical Doctor License in Illinois | # 125062678

PHILIP CHANG MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062678

License Status

CANCELLED

Business

N

Title

MD

First Name

PHILIP

Last Name

CHANG

Business Name

PHILIP CHANG MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

State

IL

Specialty/Qualifier

Neurology

Ever Disciplined

N

LastModifiedDate

04/05/2016