TIFFANY DIANA CHANG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068526

License Status

CANCELLED

Business

Title

First Name

TIFFANY

Middle

DIANA

Last Name

CHANG

Business Name

TIFFANY DIANA CHANG MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/18/2016