MICHAEL G BONIFACIO - Advanced Practice Nurse License in Illinois | # 209028167

MICHAEL G BONIFACIO

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209028167

License Status

INACTIVE

Business

N

First Name

MICHAEL

Middle

G

Last Name

BONIFACIO

Business Name

MICHAEL G BONIFACIO

Original Issue Date

08/24/2023

Effective Date

03/03/2026

Expiration Date

05/31/2028

State

IL

Ever Disciplined

N

LastModifiedDate

04/09/2026