LAUREN E FASAN Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009262

License Status

ACTIVE

Business

First Name

LAUREN

Middle

Last Name

FASAN

Business Name

LAUREN E FASAN

Original Issue Date

01/10/2011

Effective Date

12/26/2025

Expiration Date

12/31/2027

City

CHICAGO

State

Zip

60655

County

COOK

Ever Disciplined

LastModifiedDate

12/26/2025