SHIVA TAFFAZOLI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****42

License Status

ACTIVE

Business

First Name

SHIVA

Last Name

TAFFAZOLI

Business Name

SHIVA TAFFAZOLI

Original Issue Date

01/07/2020

Effective Date

05/04/2024

Expiration Date

05/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026