KEVIN WESLEY CHANG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073753

License Status

EXPIRED

Business

Title

First Name

KEVIN

Middle

WESLEY

Last Name

CHANG

Business Name

KEVIN WESLEY CHANG MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2022

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/11/2022