MIRIAM M CHANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071937

License Status

NOT RENEWED

Business

First Name

MIRIAM M

Last Name

CHANG

Suffix

Business Name

MIRIAM M CHANG MD

Original Issue Date

10/24/1985

Effective Date

10/24/1985

Expiration Date

07/31/1987

City

ST LOUIS

State

Zip

63111

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006