MUNIB S MAFAZY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277000805

License Status

ACTIVE

Business

First Name

MUNIB

Middle

Last Name

MAFAZY

Business Name

MUNIB S MAFAZY

Original Issue Date

06/11/2020

Effective Date

03/09/2026

Expiration Date

05/31/2028

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/09/2026