LIEZEL ANN GRANNZON TAN Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012292

License Status

ACTIVE

Business

First Name

LIEZEL ANN

Middle

GRANNZON

Last Name

TAN

Business Name

LIEZEL ANN GRANNZON TAN

Original Issue Date

12/06/2017

Effective Date

12/30/2025

Expiration Date

12/31/2027

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

12/30/2025