Indiana
Professional Licensing Agency
Michael Patrick Rudolph
Controlled Substance Registration-Osteopathic Physician
License number
02003014D
Date granted
04/30/2012
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Parkview Whitley Hospital, 1260 E State Road 205, Columbia City IN 46725
indianalicensing.org
ID 5796939
LAST UPDATED 2024-02-19 04:29:37 UTC
LAST UPDATED 2024-02-19 04:29:37 UTC
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