FARZANEH MOH ENTEZARI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022654

License Status

ACTIVE

Business

First Name

FARZANEH

Middle

MOH

Last Name

ENTEZARI

Business Name

FARZANEH MOH ENTEZARI

Original Issue Date

01/11/2021

Effective Date

05/04/2024

Expiration Date

05/31/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/02/2026