JUSTIN PHILIP CHANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130090

License Status

NOT RENEWED

Business

Title

First Name

JUSTIN

Middle

PHILIP

Last Name

CHANG

Business Name

JUSTIN PHILIP CHANG MD

Original Issue Date

04/16/2012

Effective Date

05/27/2014

Expiration Date

07/31/2017

City

CARMEL

State

Zip

46033

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017