JENI LYNN ZOLFAGHARI Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****52

License Status

NOT RENEWED

Business

First Name

JENI

Middle

LYNN

Last Name

ZOLFAGHARI

Business Name

JENI LYNN ZOLFAGHARI

Original Issue Date

02/28/2019

Effective Date

05/06/2022

Expiration Date

06/30/2024

City

PEORIA

State

Zip

61603

County

PEORIA

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025