License holder summary

KEVIN THOMAS CHANG is a Board Of Medicine licensed to practice in Idaho. The address on file for KEVIN THOMAS CHANG is 4708 NE 140TH CIRCLE VANCOUVER WA 98686. This licensed professional license is not current. The license was granted 07/01/2011 and expired on 06/30/2012.

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 2024-02-17 22:39:00 UTC

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