SHANG TIAN CHUANG DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108955

License Status

NOT RENEWED

Business

First Name

SHANG

Middle

TIAN

Last Name

CHUANG

Suffix

Business Name

SHANG TIAN CHUANG DO

Original Issue Date

04/07/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008