KATHY ZONGJA 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

KATHY

Middle

ZONGJA

Last Name

CHANG

Suffix

Business Name

KATHY ZONGJA CHANG MD

Original Issue Date

03/04/2010

Effective Date

05/16/2011

Expiration Date

07/31/2014

City

DIXON

State

Zip

61021

County

LEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014