SAFIA KHAN MUJTABA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****20

License Status

ACTIVE

Business

First Name

SAFIA

Middle

KHAN

Last Name

MUJTABA

Business Name

SAFIA KHAN MUJTABA

Original Issue Date

06/04/2024

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

NORTHBROOK

State

Zip

60062

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2026