SHAUN MICHAEL RUDICIL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****12

License Status

ACTIVE

Business

First Name

SHAUN

Middle

MICHAEL

Last Name

RUDICIL

Business Name

SHAUN MICHAEL RUDICIL

Original Issue Date

11/28/2007

Effective Date

01/15/2026

Expiration Date

03/01/2028

City

NORMAL

State

Zip

61761

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/15/2026