MARK MAW-CHANG CHIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

MARK MAW-CHANG

Last Name

CHIN

Suffix

Business Name

MARK MAW-CHANG CHIN MD

Original Issue Date

12/01/1997

Effective Date

12/01/1997

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020