IKE TAE BANG Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009975

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2022