JOHN KINGSLEY CHANG MD - Medical Doctor License in Minnesota | # 036112609

JOHN KINGSLEY CHANG MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112609

License Status

INACTIVE

Business

N

First Name

JOHN

Middle

KINGSLEY

Last Name

CHANG

Suffix

MD

Business Name

JOHN KINGSLEY CHANG MD

Original Issue Date

11/05/2004

Effective Date

06/05/2017

Expiration Date

09/30/2020

State

MN

Ever Disciplined

N

LastModifiedDate

04/05/2020