CAROLYN ROSE FAGAN Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056016872

License Status

ACTIVE

Business

First Name

CAROLYN

Middle

ROSE

Last Name

FAGAN

Business Name

CAROLYN ROSE FAGAN

Original Issue Date

11/03/2025

Effective Date

11/03/2025

Expiration Date

12/31/2027

City

WEST BLOOMFIELD

State

Zip

48323

Ever Disciplined

LastModifiedDate

10/26/2025