CHARLES J RUDOLPH JR DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066072

License Status

INACTIVE

Business

First Name

CHARLES J

Last Name

RUDOLPH JR

Suffix

Business Name

CHARLES J RUDOLPH JR DO

Original Issue Date

02/07/1983

Effective Date

02/07/1983

Expiration Date

07/31/1987

City

RAYTOWN

State

Zip

64138

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006