STEPHANIE JAMIE CHANGCHIEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125294

License Status

INACTIVE

Business

Title

First Name

STEPHANIE

Middle

JAMIE

Last Name

CHANGCHIEN

Business Name

STEPHANIE JAMIE CHANGCHIEN MD

Original Issue Date

03/24/2010

Effective Date

04/25/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014