License holder summary

RODOLFO E E ROQUE is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for RODOLFO E E ROQUE is 25186 NORTH SHORE DRIVE, ELKHART IN 46514. This licensed professional license is not current. The license was granted 06/30/1986 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

RODOLFO E E ROQUE
Controlled Substance Registration - Physician
License number
01018862B
Date granted
06/30/1986
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
25186 NORTH SHORE DRIVE, ELKHART IN 46514
indianalicensing.org
ID 5848279
LAST UPDATED 2024-02-06 17:30:37 UTC

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