BRIAN JUNMIN CHANG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

JUNMIN

Last Name

CHANG

Business Name

BRIAN JUNMIN CHANG

Original Issue Date

10/25/2018

Effective Date

10/25/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022