WAN TAN CHANG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140874

License Status

ACTIVE

Business

Title

First Name

WAN TAN

Last Name

CHANG

Business Name

WAN TAN CHANG MD

Original Issue Date

06/09/2016

Effective Date

05/01/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/01/2023