IAN CHANG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000212

License Status

NOT RENEWED

Business

First Name

IAN

Last Name

CHANG

Business Name

IAN CHANG

Original Issue Date

10/07/1987

Effective Date

10/07/1987

Expiration Date

10/05/1989

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

10/12/2005