CAROL A RUKAVINA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001230

License Status

INACTIVE

Business

First Name

CAROL A

Last Name

RUKAVINA

Business Name

CAROL A RUKAVINA

Original Issue Date

12/23/1991

Effective Date

12/23/1991

Expiration Date

09/30/2003

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005