SHEKOUFEH SHADPOUR Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****95

License Status

INOPERATIVE

Business

First Name

SHEKOUFEH

Last Name

SHADPOUR

Business Name

SHEKOUFEH SHADPOUR

Original Issue Date

11/04/2021

Effective Date

08/02/2022

Expiration Date

05/31/2024

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

03/03/2024