HARK CHUN CHANG MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****66

NOT RENEWED

N

HARK

CHUN

CHANG

MD

HARK CHUN CHANG MD

11/25/2003

07/09/2008

07/31/2011

CARBONDALE

IL

62901

JACKSON

II III IV V

N

11/10/2011