JEFFREY DUANE HUDSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****62

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

DUANE

Last Name

HUDSON

Business Name

JEFFREY DUANE HUDSON

Original Issue Date

10/07/2010

Effective Date

10/07/2010

Expiration Date

03/01/2012

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

04/16/2012