CHRISTINE CHANG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Last Name

CHANG

Suffix

DDS

Business Name

CHRISTINE CHANG DDS

Original Issue Date

09/29/1986

Effective Date

09/29/1986

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005