BEHNOOSH SHAHROKH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****22

License Status

ACTIVE

Business

First Name

BEHNOOSH

Last Name

SHAHROKH

Business Name

BEHNOOSH SHAHROKH

Original Issue Date

12/07/2022

Effective Date

05/28/2024

Expiration Date

05/31/2026

City

GLEN ELLYN

State

Zip

60137

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026