SHIRIN JIVA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****24

License Status

ACTIVE

Business

First Name

SHIRIN

Last Name

JIVA

Business Name

SHIRIN JIVA

Original Issue Date

04/25/2025

Effective Date

04/25/2025

Expiration Date

05/31/2026

City

MORTON GROVE

State

Zip

60053

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026