NATHAN D RUD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****54

License Status

ACTIVE

Business

First Name

NATHAN

Middle

Last Name

RUD

Business Name

NATHAN D RUD

Original Issue Date

08/22/2012

Effective Date

02/17/2024

Expiration Date

03/01/2026

City

ELK GROVE VILLAGE

State

Zip

60007

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025