RANDOLPH KIRK CHANG DDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115531

License Status

NOT RENEWED

Business

First Name

RANDOLPH

Middle

KIRK

Last Name

CHANG

Suffix

DDS

Business Name

RANDOLPH KIRK CHANG DDS

Original Issue Date

10/13/1996

Effective Date

10/13/1996

Expiration Date

03/31/1998

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005