PHILIP S DUDAK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****80

License Status

NOT RENEWED

Business

First Name

PHILIP S

Last Name

DUDAK

Business Name

PHILIP S DUDAK

Original Issue Date

07/16/2013

Effective Date

05/10/2016

Expiration Date

05/31/2018

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

07/19/2018