MASTANEH FAKHIRIYAZDI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****26

License Status

ACTIVE

Business

First Name

MASTANEH

Last Name

FAKHIRIYAZDI

Business Name

MASTANEH FAKHIRIYAZDI

Original Issue Date

03/13/2025

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

WEST HOLLYWOOD

State

Zip

90046

Delegated Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

03/17/2026