ELISE S CHANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083721

License Status

NOT RENEWED

Business

First Name

ELISE S

Last Name

CHANG

Suffix

Business Name

ELISE S CHANG MD

Original Issue Date

11/08/1991

Effective Date

11/08/1991

Expiration Date

07/31/1996

City

ST LOUIS

State

Zip

63108

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006