EMILY CHIA CHUN CHANG DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045668

License Status

CANCELLED

Business

First Name

EMILY

Middle

CHIA CHUN

Last Name

CHANG

Suffix

Business Name

EMILY CHIA CHUN CHANG DO

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

10/31/2006