ALEXANDER CHANG DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148001

License Status

NOT RENEWED

Business

Title

First Name

ALEXANDER

Last Name

CHANG

Business Name

ALEXANDER CHANG DO

Original Issue Date

12/28/2018

Effective Date

12/28/2018

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021