SHANNON MOSTAFIZ Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

ACTIVE

Business

First Name

SHANNON

Last Name

MOSTAFIZ

Business Name

SHANNON MOSTAFIZ

Original Issue Date

07/15/2022

Effective Date

05/22/2024

Expiration Date

05/31/2026

City

NEW YORK

State

Zip

10016

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026