JOHN KINGSLEY CHANG
Idaho TLM-3550 Upgraded
This Idaho license was held by JOHN KINGSLEY CHANG. The license is no longer active. It was granted on 04/25/2005
LICENSE DETAILS
- License Number: TLM-3550
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 04/25/2005 (about 20 years ago)
LOCATIONS
A Residential
11995 SINGLETREE LANE STE 500 EDEN PRAIRIE MN 55344