STACEY L GUSAK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041425148

License Status

ACTIVE

Business

First Name

STACEY

Middle

Last Name

GUSAK

Business Name

STACEY L GUSAK

Original Issue Date

10/02/2014

Effective Date

05/27/2024

Expiration Date

05/31/2026

City

MUNSTER

State

Zip

46321

County

LAKE

Ever Disciplined

LastModifiedDate

02/28/2026