MARY R CHANG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096934

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

CHANG

Business Name

MARY R CHANG

Original Issue Date

11/04/1997

Effective Date

11/04/1997

Expiration Date

07/31/1999

City

MINNEAPOLIS

State

Zip

55403

County

MINNESOTA

Ever Disciplined

LastModifiedDate

09/20/2006