AMAL K DUDAR Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****05

License Status

ACTIVE

Business

First Name

AMAL

Middle

Last Name

DUDAR

Business Name

AMAL K DUDAR

Original Issue Date

02/14/2018

Effective Date

12/18/2023

Expiration Date

03/01/2026

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2025