RANDOLPH Y CHANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

RANDOLPH Y

Last Name

CHANG

Suffix

Business Name

RANDOLPH Y CHANG MD

Original Issue Date

02/11/2015

Effective Date

02/11/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020