TAMISHA L BONVILLAIN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277003684

License Status

ACTIVE

Business

First Name

TAMISHA

Middle

Last Name

BONVILLAIN

Business Name

TAMISHA L BONVILLAIN

Original Issue Date

12/16/2024

Effective Date

12/16/2024

Expiration Date

05/31/2026

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

03/02/2026