License holder summary

ROSSER A RUDOLPH JR is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for ROSSER A RUDOLPH JR is 6010 N C R 800 WEST, YORKTOWN IN 47396. This licensed professional license is not current. The license was granted 08/31/1986 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

ROSSER A RUDOLPH JR
Controlled Substance Registration - Physician
License number
01021385B
Date granted
08/31/1986
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
6010 N C R 800 WEST, YORKTOWN IN 47396
indianalicensing.org
ID 5936521
LAST UPDATED 2024-04-21 19:09:41 UTC

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