License holder summary

STACEY LYNN RUDY is a Physician's Assistant - Physician Assistant licensed to practice in Michigan. The address on file for STACEY LYNN RUDY is Waterford, MI 48328. This licensed professional license is current. The license was granted 07/30/1999 and expired on 08/31/2016.

Michigan

Department of Licensing and Regulation

STACEY LYNN RUDY
Physician's Assistant - Physician Assistant
License number
5601003168
Date granted
07/30/1999
Date expires
08/31/2016
Class
Physician's Assistant - Physician Assistant
Status
Active
Address
Waterford, MI 48328
michiganlicensing.org
ID 25995324
LAST UPDATED 2026-06-04 20:57:47 UTC

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