SHIH-CHUNG CHANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

SHIH-CHUNG

Last Name

CHANG

Suffix

Business Name

SHIH-CHUNG CHANG MD

Original Issue Date

01/01/1997

Effective Date

06/10/2008

Expiration Date

07/31/2011

City

MARYVILLE

State

Zip

62062

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011