SUSANNA CHANG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

First Name

SUSANNA

Last Name

CHANG

Suffix

Business Name

SUSANNA CHANG MD

Original Issue Date

09/14/2004

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

NORTH CHICAGO

State

Zip

60064

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023