AMY BONFIGLIO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****49

License Status

NOT RENEWED

Business

First Name

AMY

Last Name

BONFIGLIO

Business Name

AMY BONFIGLIO

Original Issue Date

11/03/2015

Effective Date

05/22/2018

Expiration Date

09/30/2020

City

WAUCONDA

State

Zip

60084

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021