BIJAN NAGHIBI HARAT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

INACTIVE

Business

First Name

BIJAN

Last Name

NAGHIBI HARAT

Business Name

BIJAN NAGHIBI HARAT

Original Issue Date

03/06/2018

Effective Date

07/07/2020

Expiration Date

08/31/2022

City

BALLWIN

State

Zip

63011

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/31/2022