BRANDON FEN CHANG MD - Medical Doctor License in Illinois | # 125077096

BRANDON FEN CHANG MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077096

License Status

CANCELLED

Business

N

Title

MD

First Name

BRANDON

Middle

FEN

Last Name

CHANG

Business Name

BRANDON FEN CHANG MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2022

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

05/27/2020