SUSANNA CHANG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112345

License Status

ACTIVE

Business

First Name

SUSANNA

Last Name

CHANG

Suffix

Business Name

SUSANNA CHANG MD

Original Issue Date

09/14/2004

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

NORTH CHICAGO

State

Zip

60064

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2023