STACEY L GUSAK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209024281

License Status

ACTIVE

Business

First Name

STACEY

Middle

Last Name

GUSAK

Business Name

STACEY L GUSAK

Original Issue Date

11/04/2021

Effective Date

05/27/2024

Expiration Date

05/31/2026

City

MUNSTER

State

Zip

46321

County

LAKE

Ever Disciplined

LastModifiedDate

03/02/2026