TAMISHA L BONVILLAIN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****84

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