MARY VICTORIA RACKOVAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002929

License Status

NOT RENEWED

Business

First Name

MARY

Middle

VICTORIA

Last Name

RACKOVAN

Business Name

MARY VICTORIA RACKOVAN

Original Issue Date

03/11/2008

Effective Date

10/02/2009

Expiration Date

12/31/2011

City

ST LOUIS

State

Zip

63104

County

MISSOURI

Ever Disciplined

LastModifiedDate

02/08/2012