MANDY B LUSUNG Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****07

License Status

ACTIVE

Business

First Name

MANDY

Middle

Last Name

LUSUNG

Business Name

MANDY B LUSUNG

Original Issue Date

09/19/2024

Effective Date

09/19/2024

Expiration Date

05/31/2026

City

HOFFMAN ESTATES

State

Zip

60169

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026