RUDOLPH DELIA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036021678

License Status

INACTIVE

Business

First Name

RUDOLPH

Last Name

DELIA

Suffix

Business Name

RUDOLPH DELIA MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1987

City

HAMMOND

State

Zip

46320

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006

Case Number

1974000004

Action

Suspension

Discipline Start Date

04/22/1975

Discipline End Date

07/31/1978