Indiana
Professional Licensing Agency
Mark Keydong Chang
Controlled Substance Registration - Physician
License number
01047408B
Date granted
08/28/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1100 Joliet St., Suite 104, Dyer IN 46311
indianalicensing.org
ID 5844489
LAST UPDATED 2026-05-25 09:42:56 UTC
LAST UPDATED 2026-05-25 09:42:56 UTC
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