DENNIS H CHANG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

CANCELLED

Business

First Name

DENNIS

Middle

Last Name

CHANG

Suffix

Business Name

DENNIS H CHANG MD

Original Issue Date

05/29/2001

Effective Date

05/29/2001

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006