MARK W CHANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078709

License Status

NOT RENEWED

Business

First Name

MARK W

Last Name

CHANG

Suffix

Business Name

MARK W CHANG MD

Original Issue Date

04/15/1989

Effective Date

04/15/1989

Expiration Date

07/31/1999

City

JOHNSON CITY

State

Zip

37601

County

TENNESSEE

Ever Disciplined

LastModifiedDate

09/20/2006