RODOLFO JAVIER SAN JUAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036175111

License Status

ACTIVE

Business

Title

First Name

RODOLFO

Middle

JAVIER

Last Name

SAN JUAN

Business Name

RODOLFO JAVIER SAN JUAN MD

Original Issue Date

05/25/2025

Effective Date

05/25/2025

Expiration Date

07/31/2026

City

CROWN POINT

State

Zip

46307

County

LAKE

Ever Disciplined

LastModifiedDate

05/25/2025