License holder summary

Rodolfo San Juan, Jr is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Rodolfo San Juan, Jr is 11161 Randolph Street, Crown Point IN 46307. This licensed professional license is current. The license was granted 01/09/2008 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Rodolfo San Juan, Jr
Controlled Substance Registration - Physician
License number
01064429B
Date granted
01/09/2008
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
11161 Randolph Street, Crown Point IN 46307
indianalicensing.org
ID 5841847
LAST UPDATED 2024-03-31 11:22:27 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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