RADHIKA CHANG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

Title

First Name

RADHIKA

Last Name

CHANG

Business Name

RADHIKA CHANG MD

Original Issue Date

07/31/2024

Effective Date

07/31/2024

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

07/31/2024