SHANNON MOSTAFIZ - Advanced Practice Nurse License in New York | # 30*****00

SHANNON MOSTAFIZ

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

ACTIVE

Business

N

First Name

SHANNON

Last Name

MOSTAFIZ

Business Name

SHANNON MOSTAFIZ

Original Issue Date

07/15/2022

Effective Date

05/22/2024

Expiration Date

05/31/2026

State

NY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

03/02/2026