JEFFREY A RUDOLPH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000249

License Status

EXPIRED

Business

First Name

JEFFREY

Middle

Last Name

RUDOLPH

Business Name

JEFFREY A RUDOLPH

Original Issue Date

08/16/1994

Effective Date

08/16/1994

Expiration Date

06/30/1997

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

06/29/2009