DOUGLAS T CHANG Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

ACTIVE

Business

First Name

DOUGLAS

Middle

Last Name

CHANG

Business Name

DOUGLAS T CHANG

Original Issue Date

07/21/2006

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

LISLE

State

Zip

60532

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/01/2024