MAHVASH FAZELIAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041242399

License Status

NOT RENEWED

Business

First Name

MAHVASH

Last Name

FAZELIAN

Business Name

MAHVASH FAZELIAN

Original Issue Date

07/13/1987

Effective Date

05/27/2020

Expiration Date

08/31/2022

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2022