License holder summary

Rudolph Fredrick Licandro is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Rudolph Fredrick Licandro is The King's Daughters Hospital & Health Services, One Kings Daughters Drive, Madison IN 47250. This licensed professional license is current. The license was granted 10/16/2012 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Rudolph Fredrick Licandro
Controlled Substance Registration - Physician
License number
01039262C
Date granted
10/16/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
The King's Daughters Hospital & Health Services, One Kings Daughters Drive, Madison IN 47250
indianalicensing.org
ID 5887317
LAST UPDATED 2026-06-17 01:34:30 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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