STEPHANIE JAMIE CHANGCHIEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

Title

First Name

STEPHANIE

Middle

JAMIE

Last Name

CHANGCHIEN

Business Name

STEPHANIE JAMIE CHANGCHIEN MD

Original Issue Date

04/06/2010

Effective Date

06/24/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60623

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014