PETER S CHANG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027050

License Status

EXPIRED

Business

First Name

PETER S

Last Name

CHANG

Suffix

Business Name

PETER S CHANG MD

Original Issue Date

06/03/1991

Effective Date

06/03/1991

Expiration Date

06/20/1994

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006