MASTANEH FAKHIRIYAZDI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****60

License Status

ACTIVE

Business

First Name

MASTANEH

Last Name

FAKHIRIYAZDI

Business Name

MASTANEH FAKHIRIYAZDI

Original Issue Date

03/19/2026

Effective Date

03/19/2026

Expiration Date

05/31/2028

City

WESTCHESTER

State

Zip

60154

County

COOK

Delegated Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

03/19/2026