Michael Patrick Rudolph
Controlled Substance Registration-Osteopathic Physician
Indiana 02003014C Expired
This Indiana license was held by Michael Patrick Rudolph. The license is no longer active. It was granted on 12/07/2005 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 02003014C
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 12/07/2005 (over 18 years ago)
- Expiry Date: 06/30/2007 (almost 17 years ago)
LOCATIONS
A Address
Sagamore Surgical Services, 2320 Concord Road, Suite B, Lafayette IN 47909