MARY DUDEK Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****78

License Status

INOPERATIVE

Business

First Name

MARY

Last Name

DUDEK

Business Name

MARY DUDEK

Original Issue Date

09/16/2005

Effective Date

01/10/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2023