Indiana
Professional Licensing Agency
Tara Jo Rudisill
Physician Assistant
License number
10001346A
Date granted
11/17/2011
Date expires
06/30/2014
Class
Physician Assistant
Status
Expired
Address
Bloomington IN 47401
indianalicensing.org
ID 8389013
LAST UPDATED 2024-05-06 04:16:19 UTC
LAST UPDATED 2024-05-06 04:16:19 UTC
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