MARILYN RUTH ANTONACCI Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001720

License Status

NOT RENEWED

Business

First Name

MARILYN RUTH

Last Name

ANTONACCI

Business Name

MARILYN RUTH ANTONACCI

Original Issue Date

06/16/1998

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

ST LOUIS

State

Zip

63119

County

MISSOURI

Ever Disciplined

LastModifiedDate

03/31/2008