MUNIB S MAFAZY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****87

License Status

ACTIVE

Business

First Name

MUNIB

Middle

Last Name

MAFAZY

Business Name

MUNIB S MAFAZY

Original Issue Date

06/11/2020

Effective Date

03/09/2026

Expiration Date

05/31/2028

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/09/2026