License holder summary

Jennifer A Dudak is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Jennifer A Dudak is Dermatology Associates of Northwest Indiana, 9120 Columbia Avenue, Munster IN 46321. This licensed professional license is current. The license was granted 03/28/2013 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Jennifer A Dudak
Controlled Substance Registration-Physician Assistant
License number
10000671B
Date granted
03/28/2013
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Dermatology Associates of Northwest Indiana, 9120 Columbia Avenue, Munster IN 46321
indianalicensing.org
ID 8387881
LAST UPDATED 2024-03-11 23:38:28 UTC

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