JOHN KINGSLEY CHANG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112609

License Status

INACTIVE

Business

First Name

JOHN

Middle

KINGSLEY

Last Name

CHANG

Suffix

Business Name

JOHN KINGSLEY CHANG MD

Original Issue Date

11/05/2004

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

EDEN PRAIRIE

State

Zip

55344

County

MINNESOTA

Ever Disciplined

LastModifiedDate

04/05/2020