License holder summary

REBECCA EVONNE RUDOLPH is a Board Of Medicine licensed to practice in Idaho. The address on file for REBECCA EVONNE RUDOLPH is 499 Ave H #412 Boise ID 83712. This licensed professional license is not current. The license was granted 04/25/1994.

Idaho

Division of Occupational and Professional Licenses

REBECCA EVONNE RUDOLPH
Board Of Medicine
License number
MRM-408
Date granted
04/25/1994
Class
Board Of Medicine
Status
Canceled
Address
499 Ave H #412 Boise ID 83712
idaholicensing.com
ID 48345736
LAST UPDATED 2024-04-08 17:50:03 UTC

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