SARA A MANCUSO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

ACTIVE

Business

First Name

SARA

Middle

Last Name

MANCUSO

Business Name

SARA A MANCUSO

Original Issue Date

11/16/2020

Effective Date

05/15/2024

Expiration Date

05/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026