DENNIS H CHANG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104669

License Status

INACTIVE

Business

First Name

DENNIS

Middle

Last Name

CHANG

Suffix

Business Name

DENNIS H CHANG MD

Original Issue Date

05/10/2001

Effective Date

05/10/2001

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006