HEINZ RUDOLF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035325

License Status

NOT RENEWED

Business

First Name

HEINZ

Last Name

RUDOLF

Suffix

Business Name

HEINZ RUDOLF MD

Original Issue Date

08/15/1958

Effective Date

06/23/2011

Expiration Date

07/31/2014

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

11/17/2014