MANIJEH GHAFOURI Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****91

License Status

NOT RENEWED

Business

First Name

MANIJEH

Last Name

GHAFOURI

Business Name

MANIJEH GHAFOURI

Original Issue Date

12/29/2016

Effective Date

12/29/2016

Expiration Date

05/31/2018

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/19/2018