EILEEN CHANG DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107044

License Status

NOT RENEWED

Business

First Name

EILEEN

Last Name

CHANG

Suffix

Business Name

EILEEN CHANG DO

Original Issue Date

05/24/2002

Effective Date

07/25/2008

Expiration Date

07/31/2011

City

CHANDLER

State

Zip

85225

County

ARIZONA

Ever Disciplined

LastModifiedDate

11/14/2011