COLIN DAVID RUDOLPH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104241

License Status

NOT RENEWED

Business

First Name

COLIN

Middle

DAVID

Last Name

RUDOLPH

Suffix

Business Name

COLIN DAVID RUDOLPH MD

Original Issue Date

02/21/2001

Effective Date

02/21/2001

Expiration Date

07/31/2005

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

05/27/2011