AGNES JU CHANG Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044116

License Status

CANCELLED

Business

First Name

AGNES

Middle

Last Name

CHANG

Business Name

AGNES JU CHANG

Original Issue Date

06/17/2002

Effective Date

06/17/2002

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/22/2006