DAVID KYUNGSOO CHANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

KYUNGSOO

Last Name

CHANG

Business Name

DAVID KYUNGSOO CHANG MD

Original Issue Date

07/28/2000

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021