Rudolph Modesto Navari
Controlled Substance Registration - Physician
Indiana 01048672C Active
This Indiana license is held by Rudolph Modesto Navari. The license is currently active. It was granted on 08/27/2001 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01048672C
- Category: CSR-Physician
- Status: Active
- Date Granted: 08/27/2001 (almost 25 years ago)
- Expiry Date: 10/31/2015 (over 10 years ago)
LOCATIONS
A Address
Rudolph Modesto Navari / South Bend Clinic, 1915 Lake Avenue, Plymouth IN 46563
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