CHARLES Y CHANG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054599

License Status

EXPIRED

Business

Title

First Name

CHARLES

Middle

Last Name

CHANG

Business Name

CHARLES Y CHANG MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

07/19/2011