STACEY L GUSAK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****35

License Status

ACTIVE

Business

First Name

STACEY

Middle

Last Name

GUSAK

Business Name

STACEY L GUSAK

Original Issue Date

11/09/2022

Effective Date

03/25/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60637

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/25/2026