EARL HAMILTON RUDOLPH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051549

License Status

EXPIRED

Business

Title

First Name

EARL

Middle

HAMILTON

Last Name

RUDOLPH

Business Name

EARL HAMILTON RUDOLPH DO

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/15/2009