CHANG XU XU DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082967

License Status

CANCELLED

Business

Title

First Name

CHANG

Middle

Last Name

Business Name

CHANG XU XU DO

Original Issue Date

06/24/2023

Effective Date

06/24/2023

Expiration Date

06/23/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

08/07/2025