JAZIRA SULTANOVA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015659

License Status

INACTIVE

Business

First Name

JAZIRA

Last Name

SULTANOVA

Business Name

JAZIRA SULTANOVA

Original Issue Date

02/22/2017

Effective Date

07/13/2020

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/13/2020