Idaho
Division of Occupational and Professional Licenses
KEVIN THOMAS CHANG
Board Of Medicine
License number
MSM-0047
Date granted
07/01/2011
Date expires
06/30/2012
Class
Board Of Medicine
Status
Expired
Address
4708 NE 140TH CIRCLE VANCOUVER WA 98686
idaholicensing.com
ID 48343097
LAST UPDATED 2024-04-24 05:23:31 UTC
LAST UPDATED 2024-04-24 05:23:31 UTC
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