EILEEN TIEN FANG Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011229

License Status

ACTIVE

Business

First Name

EILEEN

Middle

TIEN

Last Name

FANG

Business Name

EILEEN TIEN FANG

Original Issue Date

10/01/2015

Effective Date

10/02/2025

Expiration Date

12/31/2027

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

10/02/2025