TIFFANY DIANA CHANG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148591

License Status

ACTIVE

Business

Title

First Name

TIFFANY

Middle

DIANA

Last Name

CHANG

Business Name

TIFFANY DIANA CHANG MD

Original Issue Date

03/14/2019

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2023