SAMANTHA P BONZANI Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****33

License Status

INACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

BONZANI

Business Name

SAMANTHA P BONZANI

Original Issue Date

01/29/2016

Effective Date

04/20/2024

Expiration Date

05/31/2026

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

01/31/2025