Indiana
Professional Licensing Agency
KENNETH JACOB RUDOLPH
Controlled Substance Registration - Physician
License number
01016810B
Date granted
08/31/1986
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
742 PLAZA, EVANSVILLE IN 47715
indianalicensing.org
ID 5850439
LAST UPDATED 2024-03-28 23:49:42 UTC
LAST UPDATED 2024-03-28 23:49:42 UTC
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