MICHAEL G BONIFACIO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209028167

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

BONIFACIO

Business Name

MICHAEL G BONIFACIO

Original Issue Date

08/24/2023

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

FRANKFORT

State

Zip

60423

Ever Disciplined

LastModifiedDate

03/03/2026