JENNIFER A DUDAK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****96

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

Last Name

DUDAK

Business Name

JENNIFER A DUDAK

Original Issue Date

09/08/2006

Effective Date

12/08/2025

Expiration Date

03/01/2028

City

TINLEY PARK

State

Zip

60477

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/08/2025