ERIC M CHANGCHIEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053476

License Status

EXPIRED

Business

Title

First Name

ERIC

Middle

Last Name

CHANGCHIEN

Business Name

ERIC M CHANGCHIEN MD

Original Issue Date

06/18/2007

Effective Date

06/18/2007

Expiration Date

06/17/2010

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

06/24/2010