AMAL K DUDAR Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006468

License Status

ACTIVE

Business

First Name

AMAL

Middle

Last Name

DUDAR

Business Name

AMAL K DUDAR

Original Issue Date

12/14/2017

Effective Date

12/18/2023

Expiration Date

03/01/2026

City

DARIEN

State

Zip

60561

Ever Disciplined

LastModifiedDate

12/03/2025