MARICEL T TAN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021186

License Status

ACTIVE

Business

First Name

MARICEL

Middle

Last Name

TAN

Business Name

MARICEL T TAN

Original Issue Date

11/24/2014

Effective Date

07/17/2024

Expiration Date

09/30/2026

City

BOLINGBROOK

State

Zip

60490

Ever Disciplined

LastModifiedDate

07/17/2024