MANDY B LUSUNG Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****30

License Status

INOPERATIVE

Business

First Name

MANDY

Middle

Last Name

LUSUNG

Business Name

MANDY B LUSUNG

Original Issue Date

06/22/2023

Effective Date

05/23/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026