JAZIRA SULTANOVA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****55

License Status

INACTIVE

Business

First Name

JAZIRA

Last Name

SULTANOVA

Business Name

JAZIRA SULTANOVA

Original Issue Date

02/22/2017

Effective Date

07/13/2020

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/13/2020