MARILYN M DUDEK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000831

License Status

NOT RENEWED

Business

First Name

MARILYN

Middle

Last Name

DUDEK

Business Name

MARILYN M DUDEK

Original Issue Date

01/06/1997

Effective Date

02/11/2014

Expiration Date

03/01/2016

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

04/25/2016