ETHEL C CHIANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

ETHEL C

Last Name

CHIANG

Suffix

Business Name

ETHEL C CHIANG MD

Original Issue Date

06/22/1990

Effective Date

05/14/2020

Expiration Date

07/31/2023

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023