RANDOLPH Y CHANG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024948

License Status

EXPIRED

Business

First Name

RANDOLPH Y

Last Name

CHANG

Suffix

Business Name

RANDOLPH Y CHANG MD

Original Issue Date

05/22/1990

Effective Date

05/22/1990

Expiration Date

06/30/1994

City

WESTCHESTER

State

Zip

60154

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006