TANAVI MAYUR RAICAR Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010631

License Status

INACTIVE

Business

First Name

TANAVI

Middle

MAYUR

Last Name

RAICAR

Business Name

TANAVI MAYUR RAICAR

Original Issue Date

07/11/2014

Effective Date

12/04/2017

Expiration Date

12/31/2019

City

BALLWIN

State

Zip

63011

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/02/2019