SHEKOUFEH SHADPOUR Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023630

License Status

NOT RENEWED

Business

First Name

SHEKOUFEH

Last Name

SHADPOUR

Business Name

SHEKOUFEH SHADPOUR

Original Issue Date

07/19/2021

Effective Date

08/02/2022

Expiration Date

06/30/2024

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

02/05/2025