YIA-TING CHANG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

NOT RENEWED

Business

First Name

YIA-TING

Last Name

CHANG

Suffix

DDS

Business Name

YIA-TING CHANG DDS

Original Issue Date

12/24/1997

Effective Date

12/24/1997

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005