SARA M MUSULKIN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****78

License Status

ACTIVE

Business

First Name

SARA

Middle

Last Name

MUSULKIN

Business Name

SARA M MUSULKIN

Original Issue Date

09/28/2025

Effective Date

09/28/2025

Expiration Date

05/31/2026

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026