MARK G BUSBY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****58

License Status

ACTIVE

Business

First Name

MARK

Middle

Last Name

BUSBY

Business Name

MARK G BUSBY

Original Issue Date

10/25/2025

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

MARION

State

Zip

62959

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2026