SHIVA TAFFAZOLI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277000446

License Status

ACTIVE

Business

First Name

SHIVA

Last Name

TAFFAZOLI

Business Name

SHIVA TAFFAZOLI

Original Issue Date

01/07/2020

Effective Date

05/04/2024

Expiration Date

05/31/2026

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

03/02/2026