License holder summary

Michael Rudolph is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Michael Rudolph is East Center Dental, 2104 East Center Street, Warsaw IN 46580. This licensed professional license is current. The license was granted 09/14/2007 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Michael Rudolph
Controlled Substance Registration - Dentist
License number
12010923B
Date granted
09/14/2007
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
East Center Dental, 2104 East Center Street, Warsaw IN 46580
indianalicensing.org
ID 5127229
LAST UPDATED 2024-02-11 15:16:52 UTC

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