License holder summary

James Robert Rusterholz is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for James Robert Rusterholz is 9081 LEW WALLACE DRIVE, BROOKVILLE IN 47012. This licensed professional license is not current. The license was granted 08/31/1986 and expired on 03/01/2006.

Indiana

Professional Licensing Agency

James Robert Rusterholz
Controlled Substance Registration - Dentist
License number
12005768B
Date granted
08/31/1986
Date expires
03/01/2006
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
9081 LEW WALLACE DRIVE, BROOKVILLE IN 47012
indianalicensing.org
ID 5084195
LAST UPDATED 2024-02-26 05:35:04 UTC

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