STACEY L GUSAK - Registered Nurse License in Indiana | # 041425148

STACEY L GUSAK

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041425148

License Status

ACTIVE

Business

N

First Name

STACEY

Middle

L

Last Name

GUSAK

Business Name

STACEY L GUSAK

Original Issue Date

10/02/2014

Effective Date

05/27/2024

Expiration Date

05/31/2026

State

IN

Ever Disciplined

N

LastModifiedDate

02/28/2026