License holder summary

William Irving Rudolph is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for William Irving Rudolph is 3200 Sycamore Court, Bldg 1-C, Columbus IN 47203. This licensed professional license is current. The license was granted 05/31/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

William Irving Rudolph
Controlled Substance Registration - Dentist
License number
12006786B
Date granted
05/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3200 Sycamore Court, Bldg 1-C, Columbus IN 47203
indianalicensing.org
ID 5088165
LAST UPDATED 2024-03-01 17:56:25 UTC

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