CAROLYN M RUKAVINA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001159

License Status

NOT RENEWED

Business

First Name

CAROLYN M

Last Name

RUKAVINA

Business Name

CAROLYN M RUKAVINA

Original Issue Date

12/20/1991

Effective Date

11/06/2017

Expiration Date

09/30/2019

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/12/2025