JUSTIN CAM CHANG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106304

License Status

INACTIVE

Business

First Name

JUSTIN

Middle

CAM

Last Name

CHANG

Suffix

Business Name

JUSTIN CAM CHANG MD

Original Issue Date

02/15/2002

Effective Date

02/15/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006