FAZAL U KHAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043125913

License Status

NOT RENEWED

Business

First Name

FAZAL

Middle

Last Name

KHAN

Business Name

FAZAL U KHAN

Original Issue Date

08/29/2018

Effective Date

01/30/2019

Expiration Date

01/31/2021

City

ROCKFORD

State

Zip

61114

Ever Disciplined

LastModifiedDate

03/11/2021