KATHY ZONGJA CHANG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125085

License Status

INACTIVE

Business

First Name

KATHY

Middle

ZONGJA

Last Name

CHANG

Suffix

Business Name

KATHY ZONGJA CHANG MD

Original Issue Date

03/02/2010

Effective Date

05/16/2011

Expiration Date

07/31/2014

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

04/08/2014