RUSSELL E WUDEL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****70

License Status

ACTIVE

Business

First Name

RUSSELL

Middle

Last Name

WUDEL

Business Name

RUSSELL E WUDEL

Original Issue Date

02/06/2002

Effective Date

03/02/2026

Expiration Date

03/01/2028

City

JOLIET

State

Zip

60435

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026