PHILIP S DUDAK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****22

License Status

ACTIVE

Business

First Name

PHILIP S

Last Name

DUDAK

Business Name

PHILIP S DUDAK

Original Issue Date

10/17/2024

Effective Date

10/17/2024

Expiration Date

05/31/2026

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

03/02/2026