License holder summary

IVAN RUDOLPH is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for IVAN RUDOLPH is HAINESPORT NJ 08036. This licensed professional license is current. The license was granted 09/28/1961 and expired on 12/31/2016.

Pennsylvania

Department of State

IVAN RUDOLPH
Medical Physician And Surgeon
License number
MD006250E
Date granted
09/28/1961
Date expires
12/31/2016
Class
Medical Physician And Surgeon
Status
Active
Address
HAINESPORT NJ 08036
palicensing.org
ID 16628159
LAST UPDATED 2024-03-10 19:46:56 UTC

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