SHANG TIAN CHUANG DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039358

License Status

EXPIRED

Business

First Name

SHANG

Middle

TIAN

Last Name

CHUANG

Suffix

Business Name

SHANG TIAN CHUANG DO

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2003

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006