KIRSTIN RENAE FUDGE - Physician Assistant License in Illinois | # 085011392

KIRSTIN RENAE FUDGE

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011392

License Status

ACTIVE

Business

N

First Name

KIRSTIN

Middle

RENAE

Last Name

FUDGE

Business Name

KIRSTIN RENAE FUDGE

Original Issue Date

07/14/2025

Effective Date

01/13/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

01/13/2026