PETER S CHANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

PETER S

Last Name

CHANG

Suffix

Business Name

PETER S CHANG MD

Original Issue Date

11/17/1993

Effective Date

11/17/1993

Expiration Date

07/31/1996

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006