JEEN-SOO CHANG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057049

License Status

CANCELLED

Business

Title

First Name

JEEN-SOO

Last Name

CHANG

Business Name

JEEN-SOO CHANG MD

Original Issue Date

06/18/2009

Effective Date

06/18/2009

Expiration Date

06/17/2012

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/18/2009