JULIE CHANG Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****38

License Status

INOPERATIVE

Business

First Name

JULIE

Last Name

CHANG

Business Name

JULIE CHANG

Original Issue Date

11/05/2018

Effective Date

11/05/2018

Expiration Date

03/01/2020

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

12/18/2019