EUGENIA CHANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135974

License Status

NOT RENEWED

Business

Title

First Name

EUGENIA

Last Name

CHANG

Business Name

EUGENIA CHANG MD

Original Issue Date

07/18/2014

Effective Date

07/18/2014

Expiration Date

07/31/2017

City

BOISE

State

Zip

83712

County

IDAHO

Ever Disciplined

LastModifiedDate

11/01/2017