SHIH-WEN CHANG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

First Name

SHIH-WEN

Last Name

CHANG

Suffix

Business Name

SHIH-WEN CHANG MD

BusinessDBA

SEIBUN TAKEMITSU

Original Issue Date

10/29/2004

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

DEKALB

State

Zip

60115

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023