KATHERINE TINGTING CHANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

Title

First Name

KATHERINE

Middle

TINGTING

Last Name

CHANG

Business Name

KATHERINE TINGTING CHANG MD

Original Issue Date

04/02/2021

Effective Date

04/02/2021

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60602

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023