RANDOLPH KIRK CHANG DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

ACTIVE

Business

First Name

RANDOLPH

Middle

KIRK

Last Name

CHANG

Suffix

DDS

Business Name

RANDOLPH KIRK CHANG DDS

Original Issue Date

08/14/2001

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60645

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024