SHAUN MICHAEL RUDICIL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002994

License Status

ACTIVE

Business

First Name

SHAUN

Middle

MICHAEL

Last Name

RUDICIL

Business Name

SHAUN MICHAEL RUDICIL

Original Issue Date

07/09/2007

Effective Date

01/20/2026

Expiration Date

03/01/2028

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/20/2026