KIZHEL GRANZON TAN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021083

License Status

ACTIVE

Business

First Name

KIZHEL

Middle

GRANZON

Last Name

TAN

Business Name

KIZHEL GRANZON TAN

Original Issue Date

09/09/2014

Effective Date

07/05/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

07/05/2024