ALEXANDER CHANG DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****26

NOT RENEWED

N

DO

ALEXANDER

CHANG

ALEXANDER CHANG DO

02/07/2019

02/07/2019

09/30/2020

PEORIA

IL

61605

PEORIA

PRACTITIONER

II III IV V

N

01/14/2021