MUNIB S MAFAZY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006784

License Status

INACTIVE

Business

First Name

MUNIB

Middle

Last Name

MAFAZY

Business Name

MUNIB S MAFAZY

Original Issue Date

09/26/2007

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/08/2020