PETER P CHANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

PETER P

Last Name

CHANG

Suffix

Business Name

PETER P CHANG MD

Original Issue Date

06/09/1987

Effective Date

06/09/1987

Expiration Date

07/31/1990

City

FARMINGTON

State

Zip

61531

County

FULTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006