RUDOLPH MODESTO NAVARI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098829

License Status

INACTIVE

Business

First Name

RUDOLPH

Middle

MODESTO

Last Name

NAVARI

Suffix

Business Name

RUDOLPH MODESTO NAVARI MD

Original Issue Date

08/19/1998

Effective Date

08/19/1998

Expiration Date

07/31/1999

City

SOUTH BEND

State

Zip

46617

County

INDIANA

Ever Disciplined

LastModifiedDate

11/09/2015