TAMISHA L BONVILLAIN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019884

License Status

INACTIVE

Business

First Name

TAMISHA

Middle

Last Name

BONVILLAIN

Business Name

TAMISHA L BONVILLAIN

Original Issue Date

08/20/2019

Effective Date

06/14/2024

Expiration Date

05/31/2026

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

12/16/2024