TARANEH MARYAM DIVANBEIGI Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209027029

License Status

NOT RENEWED

Business

First Name

TARANEH

Middle

MARYAM

Last Name

DIVANBEIGI

Business Name

TARANEH MARYAM DIVANBEIGI

Original Issue Date

03/29/2023

Effective Date

03/29/2023

Expiration Date

06/30/2024

City

VALLEY PARK

State

Zip

63088

Ever Disciplined

LastModifiedDate

02/05/2025