BEVERLY CHANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107365

License Status

NOT RENEWED

Business

First Name

BEVERLY

Last Name

CHANG

Suffix

Business Name

BEVERLY CHANG MD

Original Issue Date

07/05/2002

Effective Date

07/05/2002

Expiration Date

07/31/2005

City

SEATTLE

State

Zip

98112

County

WASHINGTON

Ever Disciplined

LastModifiedDate

10/09/2006