License holder summary

TONIA LEE RUDDOCK is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for TONIA LEE RUDDOCK is SWAN DERMATOLOGY CENTER, 2020 UNION STREET STE 300, LAFAYETTE IN 47904. This licensed professional license is not current. The license was granted 03/26/1998 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

TONIA LEE RUDDOCK
Controlled Substance Registration - Physician
License number
01048364B
Date granted
03/26/1998
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
SWAN DERMATOLOGY CENTER, 2020 UNION STREET STE 300, LAFAYETTE IN 47904
indianalicensing.org
ID 5880837
LAST UPDATED 2024-05-02 13:59:36 UTC

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