GENE L CHANG Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042293

License Status

EXPIRED

Business

First Name

GENE

Middle

Last Name

CHANG

Business Name

GENE L CHANG

Original Issue Date

06/28/2001

Effective Date

06/28/2001

Expiration Date

06/27/2004

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006