RUSTAM SAFAROV Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

ACTIVE

Business

First Name

RUSTAM

Last Name

SAFAROV

Business Name

RUSTAM SAFAROV

Original Issue Date

09/19/2019

Effective Date

03/21/2026

Expiration Date

05/31/2028

City

PALATINE

State

Zip

60074

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/21/2026