Rudolph Modesto Navari

Controlled Substance Registration - Physician

Indiana  01048672D   Active

This Indiana license is held by Rudolph Modesto Navari. The license is currently active. It was granted on 05/12/2003 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01048672D
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 05/12/2003 (about 23 years ago)
  • Expiry Date: 10/31/2015 (over 10 years ago)

LOCATIONS

A Address

Rudolph Modesto Navari, 303 South Main Street Suite 217, Mishawaka IN 46544