ERIC M CHANGCHIEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

Title

First Name

ERIC

Middle

Last Name

CHANGCHIEN

Business Name

ERIC M CHANGCHIEN MD

Original Issue Date

03/19/2010

Effective Date

03/19/2010

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011