BRIAN S CHANG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

CHANG

Business Name

BRIAN S CHANG

Original Issue Date

02/09/2006

Effective Date

07/06/2011

Expiration Date

07/31/2014

City

GENEVA

State

Zip

60134

County

KANE

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

04/05/2020