License holder summary

CHARLES E RUTHERFORD is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for CHARLES E RUTHERFORD is 2323 FERRY ST, LAFAYETTE IN 47904. This licensed professional license is not current. The license was granted 08/31/1984 and expired on 06/30/1989.

Indiana

Professional Licensing Agency

CHARLES E RUTHERFORD
Controlled Substance Registration - Physician
License number
01016541B
Date granted
08/31/1984
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2323 FERRY ST, LAFAYETTE IN 47904
indianalicensing.org
ID 5878935
LAST UPDATED 2024-04-06 08:26:42 UTC

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