SAMUEL C DUDLEY JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086624

License Status

ACTIVE

Business

First Name

SAMUEL

Middle

Last Name

DUDLEY

Suffix

JR MD

Business Name

SAMUEL C DUDLEY JR MD

Original Issue Date

06/29/1993

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

MINNEAPOLIS

State

Zip

55455

County

RHODE ISLAND

Ever Disciplined

LastModifiedDate

04/11/2023