Indiana
Professional Licensing Agency
Dianne Goffinet Rudolph
Controlled Substance Registration - Dentist
License number
12008934B
Date granted
06/30/1987
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
740 9th Street, Tell City IN 47586
indianalicensing.org
ID 5124550
LAST UPDATED 2024-02-19 18:14:49 UTC
LAST UPDATED 2024-02-19 18:14:49 UTC
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