Iowa
Professional Licensing Bureau
Forrest Jay Rackham
Psychology - Psychologist
License number
072782
Date granted
03/15/2014
Date expires
06/30/2016
Class
Psychology - Psychologist
Status
Active
Address
1706 WEST AGENCY RD WEST BURLINGTON IA 52655
iowalicenses.org
ID 24193382
LAST UPDATED 2026-05-31 17:48:23 UTC
LAST UPDATED 2026-05-31 17:48:23 UTC
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