TAHA A MOHIUDDIN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****88

License Status

ACTIVE

Business

First Name

TAHA

Middle

Last Name

MOHIUDDIN

Business Name

TAHA A MOHIUDDIN

Original Issue Date

08/23/2024

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

ELK GROVE VILLAGE

State

Zip

60007

County

MASSACHUSETTS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2026