License holder summary

Rudolph Modesto Navari is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Rudolph Modesto Navari is Northern Indiana Oncology, 1615 Winsted Drive, Suite 3, Goshen IN 46526. This licensed professional license is current. The license was granted 11/10/2005 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Rudolph Modesto Navari
Controlled Substance Registration - Physician
License number
01048672E
Date granted
11/10/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Northern Indiana Oncology, 1615 Winsted Drive, Suite 3, Goshen IN 46526
indianalicensing.org
ID 5859114
LAST UPDATED 2024-02-24 21:03:56 UTC

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