BRYAN KEITH HUDSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****46

License Status

NOT RENEWED

Business

First Name

BRYAN

Middle

KEITH

Last Name

HUDSON

Business Name

BRYAN KEITH HUDSON

Original Issue Date

03/18/2020

Effective Date

07/16/2022

Expiration Date

03/01/2024

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/05/2025