PHYLLIS CHANG Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072268

License Status

INACTIVE

Business

First Name

PHYLLIS

Last Name

CHANG

Business Name

PHYLLIS CHANG

Original Issue Date

01/28/1986

Effective Date

01/28/1986

Expiration Date

07/31/1990

City

IOWA CITY

State

Zip

52240

County

IOWA

Ever Disciplined

LastModifiedDate

09/20/2006