REX T CHANG Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032896

License Status

EXPIRED

Business

First Name

REX

Middle

Last Name

CHANG

Business Name

REX T CHANG

Original Issue Date

06/01/1995

Effective Date

06/01/1995

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006