DANIEL P BOFFA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****76

License Status

INACTIVE

Business

First Name

DANIEL P

Last Name

BOFFA

Business Name

DANIEL P BOFFA

Original Issue Date

06/19/2020

Effective Date

03/16/2024

Expiration Date

05/31/2026

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

10/23/2025