JERRY SHENG-CHIEH CHANG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112121

License Status

INACTIVE

Business

First Name

JERRY

Middle

SHENG-CHIEH

Last Name

CHANG

Suffix

Business Name

JERRY SHENG-CHIEH CHANG MD

Original Issue Date

08/16/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

PELHAM

State

Zip

10803

Ever Disciplined

LastModifiedDate

04/17/2008