ALEXANDER RICHARD CHANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124851

License Status

NOT RENEWED

Business

First Name

ALEXANDER

Middle

RICHARD

Last Name

CHANG

Suffix

Business Name

ALEXANDER RICHARD CHANG MD

Original Issue Date

01/19/2010

Effective Date

05/09/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014