TIAN T LAN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023430

License Status

ACTIVE

Business

First Name

TIAN

Middle

Last Name

LAN

Business Name

TIAN T LAN

Original Issue Date

11/14/2017

Effective Date

08/02/2024

Expiration Date

09/30/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

08/02/2024