JOHN KINGSLEY CHANG
Idaho M-9310 Canceled
This Idaho license was held by JOHN KINGSLEY CHANG. The license is no longer active. It was granted on 06/03/2005 and expired on 08/01/2009
LICENSE DETAILS
- License Number: M-9310
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 06/03/2005 (about 21 years ago)
- Expiry Date: 08/01/2009 (about 17 years ago)
LOCATIONS
A Residential
11995 SINGLETREE LANE STE 500 EDEN PRAIRIE MN 55344