ALEXANDER ANOOSHAH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****44

License Status

ACTIVE

Business

First Name

ALEXANDER

Last Name

ANOOSHAH

Business Name

ALEXANDER ANOOSHAH

Original Issue Date

04/01/2019

Effective Date

05/05/2024

Expiration Date

05/31/2026

City

MONTGOMERY

State

Zip

60538

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026