NATHAN D RUD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004331

License Status

ACTIVE

Business

First Name

NATHAN

Middle

Last Name

RUD

Business Name

NATHAN D RUD

Original Issue Date

06/19/2012

Effective Date

02/17/2024

Expiration Date

03/01/2026

City

ELK GROVE VILLAGE

State

Zip

60007

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/03/2025