Indiana
Professional Licensing Agency
James R. Rudolph
Controlled Substance Registration - Physician
License number
01031169B
Date granted
05/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1848 South Deer Park Drive, Peru IN 46970
indianalicensing.org
ID 5909488
LAST UPDATED 2024-03-21 16:49:06 UTC
LAST UPDATED 2024-03-21 16:49:06 UTC
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