MICHAEL G BONIFACIO Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****14

License Status

INOPERATIVE

Business

First Name

MICHAEL

Middle

Last Name

BONIFACIO

Business Name

MICHAEL G BONIFACIO

Original Issue Date

09/19/2025

Effective Date

09/19/2025

Expiration Date

05/31/2026

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

03/02/2026