IKE TAE BANG - Occupational Therapist License in Illinois | # 056009975

IKE TAE BANG

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009975

License Status

NOT RENEWED

Business

N

First Name

IKE

Middle

TAE

Last Name

BANG

Business Name

IKE TAE BANG

Original Issue Date

11/29/2012

Effective Date

10/09/2019

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/18/2022