CHRISTIAN E RUDOLPH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

CHRISTIAN

Middle

Last Name

RUDOLPH

Suffix

Business Name

CHRISTIAN E RUDOLPH MD

Original Issue Date

07/29/1991

Effective Date

07/29/1991

Expiration Date

07/31/1996

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020