TRACY ANN BAILEN Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006110

License Status

ACTIVE

Business

First Name

TRACY

Middle

ANN

Last Name

BAILEN

Business Name

TRACY ANN BAILEN

Original Issue Date

05/03/2001

Effective Date

12/22/2025

Expiration Date

12/31/2027

City

CHAMPAIGN

State

Zip

61820

Ever Disciplined

LastModifiedDate

12/22/2025