AGNES JU CHANG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

AGNES

Middle

Last Name

CHANG

Business Name

AGNES JU CHANG

Original Issue Date

09/05/2006

Effective Date

07/10/2008

Expiration Date

07/31/2011

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011