CARLOS FELIPE CHANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

CARLOS FELIPE

Last Name

CHANG

Suffix

Business Name

CARLOS FELIPE CHANG MD

Original Issue Date

12/12/1995

Effective Date

12/12/1995

Expiration Date

07/31/1996

City

LITCHFIELD

State

Zip

62056

County

MACOUPIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006