IL WOONG CHANG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049128

License Status

INACTIVE

Business

First Name

IL WOONG

Last Name

CHANG

Suffix

Business Name

IL WOONG CHANG MD

Original Issue Date

05/04/1974

Effective Date

05/04/1974

Expiration Date

07/31/1987

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006