JULIE CHANG Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006806

License Status

NOT RENEWED

Business

First Name

JULIE

Last Name

CHANG

Business Name

JULIE CHANG

Original Issue Date

11/02/2018

Effective Date

11/02/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60605

Ever Disciplined

LastModifiedDate

11/24/2020