ALEXANDER CHANG DO - Medical Doctor License in Illinois | # 125068091

ALEXANDER CHANG DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068091

License Status

CANCELLED

Business

N

Title

DO

First Name

ALEXANDER

Last Name

CHANG

Business Name

ALEXANDER CHANG DO

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

04/28/2016