NAHAWAND H KISHTA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****80

License Status

INACTIVE

Business

First Name

NAHAWAND

Middle

Last Name

KISHTA

Business Name

NAHAWAND H KISHTA

Original Issue Date

05/12/2020

Effective Date

06/22/2022

Expiration Date

05/31/2024

City

PALOS PARK

State

Zip

60464

County

COOK

Ever Disciplined

LastModifiedDate

03/31/2023