KATHY ZONGJA CHANG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053104

License Status

EXPIRED

Business

First Name

KATHY

Middle

ZONGJA

Last Name

CHANG

Suffix

Business Name

KATHY ZONGJA CHANG MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/08/2010