CHRISTIAN E RUDOLPH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

CHRISTIAN

Middle

Last Name

RUDOLPH

Suffix

Business Name

CHRISTIAN E RUDOLPH MD

Original Issue Date

09/18/2007

Effective Date

08/09/2017

Expiration Date

09/30/2020

City

ST ROBERT

State

Zip

65584

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021