KEVIN JEFFREY CHANG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040995

License Status

EXPIRED

Business

First Name

KEVIN

Middle

JEFFREY

Last Name

CHANG

Suffix

Business Name

KEVIN JEFFREY CHANG MD

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006