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*****84

License Status

ACTIVE

Business

First Name

PHILIP S

Last Name

DUDAK

Business Name

PHILIP S DUDAK

Original Issue Date

05/02/2023

Effective Date

05/10/2024

Expiration Date

05/31/2026

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

03/02/2026