MARILYN M DUDEK - Physician Assistant License in Illinois | # 085000831

MARILYN M DUDEK

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000831

License Status

NOT RENEWED

Business

N

First Name

MARILYN

Middle

M

Last Name

DUDEK

Business Name

MARILYN M DUDEK

Original Issue Date

01/06/1997

Effective Date

02/11/2014

Expiration Date

03/01/2016

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016